PORTOLA MEDICAL SERVICES PC
NPI 1871962076
Clinic/Center - Urgent Care in Lake Forest, CA
About Portola Medical Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTOLA MEDICAL SERVICES PC (NPI 1871962076), doing business as Clineva Urgent Care, is a healthcare organization registered as an urgent care in Lake Forest, California and active in the NPI registry since September 2015. The organization holds 4 active CLIA laboratory certificates and lists Matthew A Zeller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Portola Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Portola Medical Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2325413
Portola Medical Services PC · Lake Forest, CACertificate of Waiver 05D2104660
Portola Medical Services, PC · Laguna Niguel, CACertificate of Waiver 05D2137854
Portola Medical Services, PC · Laguna Niguel, CACertificate of Waiver 05D2325414
Portola Medical Services PC · Yorba Linda, CAFrequently 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 Portola Medical Services PC's NPI number?
The NPI number for Portola Medical Services PC is 1871962076. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as Clineva Urgent Care and Clineva Urgent Care Centers.
Where is Portola Medical Services PC located?
Portola Medical Services PC is located at 29100 Portola Pkwy Suite B, Lake Forest, CA 92630. The listed phone number is (844) 254-6382.
What is Portola Medical Services PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Portola Medical Services PC enrolled in Medicare?
Yes. Portola Medical Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Portola Medical Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Portola Medical Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (3) and Addiction Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Portola Medical Services PC hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Portola Medical Services PC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Portola Medical Services Pc · NPI 1871962076
Urgent Care organization in Lake Forest, California. Organization record, active in the CMS NPPES registry since September 17, 2015.
## Identity
- **NPI:** 1871962076 (Entity type: Organization)
- **Enumerated:** September 17, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** Clineva Urgent Care (Doing Business As); Clineva Urgent Care Centers (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Matthew Zeller, CEO
## Practice location
- **Address:** 29100 PORTOLA PKWY, SUITE B, Lake Forest, CA 92630-8712
- **Phone:** (844) 254-6382 · **Fax:** (331) 442-4902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (3), Addiction Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871962076) · Data from the CMS NPPES public registry.