Marylin B Ricardo-Ortiz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A29659 Issued in CA

Practice address

345 Spring St
Paso Robles, CA 93446-3168

Phone

(805) 238-7250

Fax

(805) 929-6440

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Cambria, CA
  • NPI 1881611705
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1124059225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "address_2": "PO BOX 430",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-929-3211",
            "fax_number": "805-929-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SPRING ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463168",
            "telephone_number": "805-238-7250",
            "fax_number": "805-929-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDO-ORTIZ",
        "first_name": "MARYLIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A29659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ROBLES NPI #",
            "identifier": "1124045042",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70737F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PLAN",
            "identifier": "W1508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Rendon, ATC
• Janette C. Ressue, M.S., CCC-SLP
• Sem Reyna
• Diane M. Rhodes, LMFT
• Samreen Farid Riaz, D.D.S
• Arleada F Robertson, PA
• Robles Ranch Mental Health Inc
• Brady Robles, DDS
• Jason Aaron Roda, PT
• Serena Detienne Roda, PT

• Pediatrics Physician in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.