Alfredo Manuel Portillo, AG-ACNP
Alfredo Manuel Portillo, AG-ACNP is a Nurse Practitioner in Apple Valley, California. Qualified in 2022, 4 years ago. Practices with Desert Valley Medical Group Inc, a 79-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
18300 CA-18Apple Valley, CA 92307
Phone: (760) 242-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95026013 (CA) |
|---|
Record details
| NPI number | 1639852635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AG-ACNP |
| Sole proprietor | No |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Desert Valley Medical Group Inc — 79 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |