Individual provider Active NPI

F. Omar B. Tordilla, MD

  • Family Medicine Physician
  • Escondido, CA
National Provider Identifier
1225063795
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88578 Issued in CA
Practice address
225 E 2ND Ave
Escondido, CA 92025-4249
Phone
(760) 291-6700
Fax
(760) 737-7324
NPI assigned
Jul 12, 2006
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A88578 CA Primary

Addresses

Primary practice location

225 E 2ND Ave
Escondido, CA 92025-4249

Mailing address

225 E 2ND Ave
Escondido, CA 92025-4249
Phone (760) 291-6700

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
I20041208000981 CA Practitioner - Family Practice 2163488396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians
Senior Medical Associates IncGroup PAC ID 0446339469, 13 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Escondido, CA 92025-4212
Phone (866) 228-2236

2810 Camino del Rio S
Suite 102
San Diego, CA 92108-3819
Phone (619) 299-1419

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88578CAMDPharmacist
A88578CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Del Sur Healthcare CurrentSince Feb 21, 2025 Accepting new patients
Graybill Medical Group Inc Family Medicine CurrentSince Nov 1, 2004 Accepting new patients

Locations

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

225 E 2nd Ave
Escondido, CA 92025

225 E 2nd Ave
Ste 101
Escondido, CA 92025
Phone (858) 453-7700

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1225063795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORDILLA",
        "first_name": "F. OMAR",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.