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MR. JOB PORTILLO LOPEZ FNP
NPI 1871565796
Nurse Practitioner - Family in Indio, CA

Active since February 03, 2006PECOS Enrolled
81767 DR CARREON BLVD STE 102, INDIO, CA 92201(760) 863-5355(760) 863-5885 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Job Portillo Lopez Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOB PORTILLO LOPEZ FNP (NPI 1871565796) is an individual family provider in Indio, California, licensed in California (9223) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1871565796
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOB PORTILLO LOPEZCredential: FNP
Location Address81767 DR CARREON BLVD STE 102Indio, CA 92201-5598
Mailing Address80834 Gentle Breeze DrIndio, CA 92201-8478 · (760) 578-5612 · Fax (760) 863-5885
Phone(760) 863-5355
Fax(760) 863-5885
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 3, 2006
Last NPPES UpdateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1871565796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 9223✔ Licensed in CA · NPF9223 RN643640
81767 DR CARREON BLVD STE 102, Indio, CA 92201
Open in Google Maps ↗

Secondary Practice Locations 3

Location 145677 Oasis StIndio, CA 92201-4564 · Phone (760) 398-0606
Location 257370 29 Palms Hwy Ste 203Yucca Valley, CA 92284-2900 · Phone (760) 398-0606
Location 352565 Cesar Chavez St Ste 104Coachella, CA 92236-1534 · Phone (760) 398-0606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Job Portillo Lopez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42251878
PECOS Enrollment IDI20050520001047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Job Lopez's NPI number?

The NPI number for Job Lopez is 1871565796. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Job Lopez located?

Job Lopez practices at 81767 Dr Carreon Blvd Ste 102, Indio, CA 92201. The listed phone number is (760) 863-5355.

What is Job Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Job Lopez enrolled in Medicare?

Yes. Job Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Job Lopez was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.