Individual provider Active NPI

Bambie Ann E Ortega

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Altos, CA
National Provider Identifier
1093564023
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030868 Issued in CA
Practice address
4546 El Camino Real Ste B7
Los Altos, CA 94022-1069
Phone
(866) 362-4246
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95201036 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030868 CA Primary

Addresses

Primary practice location

4546 El Camino Real Ste B7
Los Altos, CA 94022-1069

Mailing address

27273 Edgemont LN
Santa Clarita, CA 91350-8568
Phone (818) 205-7125

Other practice location 1

21550 Oxnard St Fl 3
Woodland Hills, CA 91367-7105
Phone (747) 263-5533

Other practice location 2

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

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
I20250219003526 CA Practitioner - Nurse Practitioner 4587184601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Behavioral Health and Medicine IncGroup PAC ID 4385021393, 18 clinicians

Practice addresses (Care Compare)

4149 El Camino Way
Suite a
Palo Alto, CA 94306-4036
Phone (866) 362-4246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BBTD Psychiatry PC Psychiatric/Mental Health CurrentSince Jan 3, 2025 Accepting new patients
Imbcs Inc CurrentSince Mar 4, 2026 Accepting new patients
Integrative Behavioral Health & Medicine, Inc. CurrentSince Feb 1, 2025 Accepting new patients
United Psychiatry, Inc. Past Accepting new patients

Locations

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

4546 El Camino Real
Ste B10740
Los Altos, CA 94022
Phone (866) 362-4246

4546 El Camino Real
Ste B7
Los Altos, CA 94022
Phone (650) 600-0107

4149 El Camino Way
Ste A
Palo Alto, CA 94306

4149 El Camino Way
Ste 101
Palo Alto, CA 94306

1750 Howe Ave
Sacramento, CA 95825
Phone (800) 887-0316

5432 Geary Blvd
San Francisco, CA 94121
Phone (415) 632-7361

21550 Oxnard St
Fl 3
Woodland Hills, CA 91367
Phone (818) 251-6961

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1093564023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27273 EDGEMONT LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913508568",
            "telephone_number": "818-205-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "866-362-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21550 Oxnard St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677105",
            "country_code": "US",
            "telephone_number": "747-263-5533",
            "fax_number": "747-200-1438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Verdugo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081407",
            "country_code": "US",
            "telephone_number": "818-790-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "BAMBIE ANN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95201036",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.