Ortholive Medical Group - Ca PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ORTHOLIVE MEDICAL GROUP - CA PC

Doing business as

HealthcareLive Medical Group - CA PC

Practice address

166 Geary St
San Francisco, CA 94108-5631

Phone

(866) 456-7846

Fax

(513) 306-4004

NPI assigned

Jun 11, 2025

Organization subpart

No

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

Authorized official

Name

Mark G Dimare

Title

Coo

Phone

(561) 758-7641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealthcareLive Medical Group - CA PC Doing business as

Locations

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1184519852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027118",
            "telephone_number": "866-456-7846",
            "fax_number": "513-306-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 GEARY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085631",
            "telephone_number": "866-456-7846",
            "fax_number": "513-306-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOLIVE MEDICAL GROUP - CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "DIMARE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-758-7641"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1841756632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthcareLive Medical Group - CA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Marie Ortega
• Nicole Marie Ortega
• Sarah Michelle Ortega, M.S., CCC-SLP
• Orthocare & Sports Physical Therapy Inc
• Orthocare & Sports Physical Therapy LLC
• Orthopaedic Xray of San Francisco
• Orthopedic Evaluation Center
• Orthopedic Physical Therapy and Wellness Inc.
• Alfonso Ortiz Cruz, MD, MBA
• Idelisse Ortiz Torres, MD PHD

• Multi-Specialty Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.