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

Jonathan Portillo, AGACNP-BC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033906961

Jonathan Portillo, AGACNP-BC is a Student in an Organized Health Care Education/Training Program in Apple Valley, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

18300 US Highway 18
Apple Valley, CA 92307-2206
Phone: (760) 242-2311
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95034996 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033906961
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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