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

Mrs. Conchita Esther Portilla, NURSEPRACTITIONERP

Individual provider Pediatric Nurse Practitioner · NPI 1649232075

Mrs. Conchita Esther Portilla, NURSEPRACTITIONERP is a Pediatric Nurse Practitioner in Colton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

400 N Pepper Ave Pediatrics Administration
Colton, CA 92324-1819
Phone: (909) 498-6277
Fax: (909) 580-3235
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 402401 (CA)

Record details

NPI number1649232075
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONERP
Sole proprietorYes
NPI enumeratedApril 3, 2006
Last updated in NPPESDecember 22, 2014

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