Individual provider Active NPI

Ryan Bradley Estacio Ortizo, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1083173348
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A180446 Issued in CA
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

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804001827 CA Practitioner - Family Practice 6002298296 Reassigns benefits to 3 organizations

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
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Welcome Health Medical GroupGroup PAC ID 8527457233, 7 clinicians

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 Home health agency, Grand Terrace, CA, CCN 557680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A180446CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welcome Health Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Jul 22, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 22, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.