Active NPI
Oscar O. Ortega, M.D.
- Family Medicine Physician
- Tacoma, WA
National Provider Identifier
1225192784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00022514
- Practice address
- 4314 E Portland Ave Ste 7
Tacoma, WA 98404-4696 - Phone
- (253) 476-9121
- NPI assigned
- Dec 20, 2006
- Last updated
- Jun 25, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00022514 | WA | Primary |
Addresses
Primary practice location
4314 E Portland Ave Ste 7
Tacoma, WA 98404-4696
Mailing address
11318 Cloverdale CT SW
Lakewood, WA 98499-1234
Phone (253) 588-2489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Avenue Clinic Management | Current | Accepting new patients |
Locations
4314 E Portland Ave
Ste 7
Tacoma, WA 98404
Phone (253) 476-9121
Organizations & group practices 1
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.
-
dba Portland Avenue Family Clinic
- Primary Care Clinic/Center
- Tacoma, WA
- NPI 1922139534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1225192784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11318 CLOVERDALE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991234",
"telephone_number": "253-588-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 E PORTLAND AVE STE 7",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044696",
"telephone_number": "253-476-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "OSCAR",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00022514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.