Active NPI
Jose Manuel Ortega, NP
- Nurse Practitioner
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 687644
- Practice address
- 16850 Bear Valley Rd
Victorville, CA 92395-5794 - Phone
- (760) 241-8000
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 687644 | CA | Primary |
Addresses
Primary practice location
16850 Bear Valley Rd
Victorville, CA 92395-5794
Mailing address
16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000
Other names 1
- Jose Manuel Ortega Zamora
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151028001312 | CA | Practitioner - Nurse Practitioner | 2769791060 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Desert Valley Medical Group Inc
Practice addresses (Care Compare)
16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000
Hospital & facility affiliations
- Desert Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687644 | CA | MD | Nurse Practitioner |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite Emergency Physicians a Medical Corporation | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Current | Accepting new patients | |
| Desert Valley Hospital, LLC | Past | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Past | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Past | Accepting new patients | |
| Personal Touch Hospice Care Inc | Past | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Past | Accepting new patients |
Locations
17450 Main St
Hesperia, CA 92345
Phone (760) 244-8000
1801 W Olympic Blvd
#2611
Pasadena, CA 91199
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
12276 Hesperia Rd
Ste 2
Victorville, CA 92395
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Victorville, CA
- NPI 1437918307
CA
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1801848452
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1952020315
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1811949548
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- Family Medicine Physician
- Hesperia, CA
- NPI 1144272717
-
- General Practice Physician
- Apple Valley, CA
- NPI 1295031052
-
- Family Medicine Physician
- Adelanto, CA
- NPI 1942250873
-
- Community Based Hospice Care Agency
- Encino, CA
- NPI 1669078663
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1043697378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955794",
"telephone_number": "760-241-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955794",
"telephone_number": "760-241-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "JOSE",
"middle_name": "MANUEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "687644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "ORTEGA ZAMORA",
"middle_name": "MANUEL",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.