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

Mr. Job Portillo Lopez, FNP

Individual provider Family Nurse Practitioner · NPI 1871565796

Mr. Job Portillo Lopez, FNP is a Nurse Practitioner in Indio, California. Qualified in 1997, 29 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

81767 Dr Carreon Blvd Ste 102
Indio, CA 92201-5598
Phone: (760) 863-5355
Fax: (760) 863-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 52565 Cesar Chavez St Ste 104, Coachella, CA 92236-1534 — (760) 398-0606
  • 45677 Oasis St, Indio, CA 92201-4564 — (760) 398-0606
  • 57370 29 Palms Hwy Ste 203, Yucca Valley, CA 92284-2900 — (760) 398-0606

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9223 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NPF9223 RN643640 (CA)

Record details

NPI number1871565796
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 3, 2006
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Indio