Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tania Portillo, MD

Individual provider Emergency Medicine Physician · NPI 1124435896

Dr. Tania Portillo, MD is an Emergency Medicine in LA Mesa, California. Graduated from Irvine California College of Medicine in 2013, 13 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Irvine California College of Medicine
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4085 Governor Dr, San Diego, CA 92122-2522 — (949) 760-9222

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A141013 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124435896
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing address5555 Grossmont Center Dr, La Mesa, CA 91942-3019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolIRVINE CALIFORNIA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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