Individual provider Active NPI

Miguel Ortega, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Claremont, CA
National Provider Identifier
1023775939
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018947 Issued in CA
Practice address
220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929
Phone
(818) 918-0548
NPI assigned
Nov 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018947 CA Primary

Addresses

Primary practice location

220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929

Mailing address

220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929
Phone (818) 918-0548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625002498 CA Practitioner - Nurse Practitioner 9335612886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95018947CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Animo Psychiatry and Wellness, a Professional Nursing Corporation Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

220 S Indian Hill Blvd
Ste D
Claremont, CA 91711
Phone (626) 214-5362

Interoperability endpoints

  • Direct secure messaging: miguel.ortega.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1023775939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S INDIAN HILL BLVD STE D",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114929",
            "telephone_number": "818-918-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S INDIAN HILL BLVD STE D",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114929",
            "telephone_number": "818-918-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.