OrganizationActive
Portola Anesthesia Services LLC
NPI 1700103223 · Medical Specialty Clinic/Center · Lake Forest, CA
Provider details
- NPI number
- 1700103223
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aimee Didion, Accounting(949) 837-3338
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29300 Portola Pkwy
Suite B
Lake Forest, CA 92630-8718
Phone: (949) 837-3338
Fax: (949) 716-2725
Street-level locationGet directions
Mailing address
29300 Portola Pkwy
Lake Forest, CA 92630-8718
Registry dates
- Enumerated
- 2010-04-23
- Last updated
- 2010-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.