Active NPI
Robert Kenneth Ornelas, D.C.
- Chiropractor
- Yorba Linda, CA
National Provider Identifier
1114018041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16788
- Practice address
- 20421 Yorba Linda Blvd
Yorba Linda, CA 92886-3042 - Phone
- (714) 970-1025
- Fax
- (714) 970-7347
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC16788 | CA | Primary |
Addresses
Primary practice location
20421 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Mailing address
20421 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Phone (714) 970-1025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120307000065 | CA | Practitioner - Chiropractic | 9335308691 | Practice locations: Yorba Linda, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20421 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Phone (714) 970-1025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16788 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC16788 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114018041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20421 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863042",
"telephone_number": "714-970-1025",
"fax_number": "714-970-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20421 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863042",
"telephone_number": "714-970-1025",
"fax_number": "714-970-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNELAS",
"first_name": "ROBERT",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.