Individual provider Active NPI

Kerin Orbe, D.O.

  • Psychiatry Physician
  • Chula Vista, CA
National Provider Identifier
1114256690
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A17225 Issued in CA
Practice address
248 Landis Ave
Chula Vista, CA 91910-2609
Phone
(619) 515-2338
Fax
(619) 600-4454
NPI assigned
Dec 14, 2009
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 264886 NY
Psychiatry Physician 2084P0800X 54276 CT
Psychiatry Physician 2084P0800X 20A17225 CA Primary

Addresses

Primary practice location

248 Landis Ave
Chula Vista, CA 91910-2609

Mailing address

13288 Deron Ave
San Diego, CA 92129-2512
Phone (917) 538-2068

Other identifiers 1

IdentifierTypeStateIssuer
03579971MedicaidNY

Other names 1

  • Dr. Kerin Orbe Professional name

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
I20190823002732 CA Practitioner - Psychiatry 4981854759 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17225CAMDChiropractor
20A17225CAMDPsychiatry Physician
54276CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc. CurrentSince Jul 30, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 30, 2019 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients

Locations

248 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2338

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

1111 W Chase Ave
El Cajon, CA 92020
Phone (619) 515-2499

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1114256690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13288 DERON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292512",
            "telephone_number": "917-538-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102609",
            "telephone_number": "619-515-2338",
            "fax_number": "619-600-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORBE",
        "first_name": "KERIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "264886",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "54276",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A17225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03579971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERIN",
            "last_name": "ORBE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.