Porteous, John
Porteous, John is an individual health care provider with primary practice located at 1541 Florida Ave Suite 200, Modesto CA 95350-4429. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Porteous, John can be contacted via phone (209) 577-3388.Contact Information
Primary practice address
1541 Florida Ave Suite 200
Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C2981 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | C2981 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | C2981 | California |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | C2981 | California |
Profile Details
| NPI number | 1669460630 |
|---|---|
| LBN Legal business name | Porteous, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 29th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669460630 | NPPES |
| California | Other | CD069A | MEDICARE GROUP PTAN |
| California | Other | 020013716 | MEDICARE GROUP PTAN |
| California | Other | CF369Z | MEDICARE GROUP PTAN |
| California | Other | ZZZ48224Z | MEDICARE GROUP PTAN |
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