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

Portia Ofori Shore, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1386274819

Portia Ofori Shore, NURSEPRACTITIONER is a Nurse Practitioner in Tarzana, California. Qualified in 2019, 7 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020

Practice location Address checks out

18370 Burbank Blvd Ste 514
Tarzana, CA 91356-2837
Phone: (818) 776-0660
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013736 (CA)

Record details

NPI number1386274819
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Tarzana