Active NPI
Fernando Ortiz, MD
- Primary Care Clinic/Center
- Corpus Christi, TX
National Provider Identifier
1003071556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- G4669
- Practice address
- 4818 Everhart Rd
Corpus Christi, TX 78411-2738 - Phone
- (361) 980-1299
- Fax
- (361) 986-8988
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | G4669 | TX | Primary |
Addresses
Primary practice location
4818 Everhart Rd
Corpus Christi, TX 78411-2738
Mailing address
7218 Pharaoh Dr
Corpus Christi, TX 78412-3827
Phone (361) 993-2898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4669 | TX | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1003071556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7218 PHARAOH DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123827",
"telephone_number": "361-993-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 EVERHART RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112738",
"telephone_number": "361-980-1299",
"fax_number": "361-986-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "G4669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.