Organization Active NPI

Gabriela Ortiz-Omphroy MD LLC

  • Specialist
  • Aiea, HI
National Provider Identifier
1003016486
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10244 Issued in HI
Legal business name
GABRIELA ORTIZ-OMPHROY MD LLC
Practice address
98-1079 Moanalua Rd Ste 680
Aiea, HI 96701-4725
Phone
(808) 487-7700
Fax
(808) 488-4151
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gabriela Maria Ortiz-Omphroy, M.D.NPI 1093879884
Title
Physician
Phone
(808) 487-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10244 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 680
Aiea, HI 96701-4725

Mailing address

98-1079 Moanalua Rd Ste 680
Aiea, HI 96701-4725
Phone (808) 487-7700

Other identifiers 1

IdentifierTypeStateIssuer
53927313MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Gabriela Ortiz-Omphroy MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1003016486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 680",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014725",
            "telephone_number": "808-487-7700",
            "fax_number": "808-488-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 680",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014725",
            "telephone_number": "808-487-7700",
            "fax_number": "808-488-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELA ORTIZ-OMPHROY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-OMPHROY",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-487-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "10244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53927313",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.