Active NPI
Sylvia Jaramillo Ortega, P.A.
- Dermatology Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- PA19187
- Practice address
- 8735 Sierra College Blvd
Suite 200
Roseville, CA 95661-5992 - Phone
- (916) 773-3376
- Fax
- (916) 773-3353
- NPI assigned
- Sep 26, 2007
- Last updated
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA19187 | CA | Primary |
Addresses
Primary practice location
8735 Sierra College Blvd
Suite 200
Roseville, CA 95661-5992
Mailing address
8735 Sierra College Blvd
Suite 200
Roseville, CA 95661-5992
Phone (916) 773-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0046090 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
192 Blue Ravine Rd
Suite 100
Folsom, CA 95630-4771
Phone (916) 983-3373
355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19187 | CA | MD | Acupuncturist |
| PA19187 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Dermatology Associates, Inc. | Current | Accepting new patients | |
| Chiraag S Patel MD Inc | Past | Accepting new patients | |
| Robert M Peppercorn MD Inc | Dermatology | Past | Accepting new patients |
Locations
1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510
355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704
370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592
Organizations & group practices 5
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.
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
- Dermatology Physician
- Folsom, CA
- NPI 1477880136
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1235738576
-
- Allergy & Immunology Physician
- Roseville, CA
- NPI 1528674793
-
dba Advanced Dermatology & Laser Center Lincoln Dermatology A Medical Corp
- Dermatology Physician
- Yuba City, CA
- NPI 1730263336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1215124946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 SIERRA COLLEGE BLVD",
"address_2": "SUITE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615992",
"telephone_number": "916-773-3376",
"fax_number": "916-773-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8735 SIERRA COLLEGE BLVD",
"address_2": "SUITE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615992",
"telephone_number": "916-773-3376",
"fax_number": "916-773-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "SYLVIA",
"middle_name": "JARAMILLO",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "PA19187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0046090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.