Active NPI
Ryan Bradley Estacio Ortizo, M.D.
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A180446
- Practice address
- 4435 Brockton Ave
Riverside, CA 92501-4004 - Phone
- (951) 682-9900
- NPI assigned
- Mar 17, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A180446 | CA | Primary |
Addresses
Primary practice location
4435 Brockton Ave
Riverside, CA 92501-4004
Mailing address
4435 Brockton Ave
Riverside, CA 92501-4004
Phone (951) 682-9900
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 E Cooley Dr
Colton, CA 92324-3905
Phone (909) 370-4100
4435 Brockton Ave
Riverside, CA 92501-4004
Phone (562) 444-5450
Hospital & facility affiliations
- Care Essentials Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180446 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welcome Health Medical Group | Current | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1300 E Cooley Dr
Colton, CA 92324
Phone (909) 370-4100
3800 Kilroy Airport Way
Ste 100
Long Beach, CA 90806
Phone (559) 249-1867
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
4435 Brockton Ave
Riverside, CA 92501
Phone (562) 444-5450
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
8135 Painter Ave
Ste 105
Whittier, CA 90602
Phone (562) 444-5450
Interoperability endpoints
- ryan.bradley.ortizo.1@25469.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Internal Medicine Physician
- Whittier, CA
- NPI 1174295349
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Terrace, CA
- NPI 1306888631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1083173348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014004",
"telephone_number": "951-682-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014004",
"telephone_number": "951-682-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZO",
"first_name": "RYAN BRADLEY",
"middle_name": "ESTACIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A180446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.