Damaris Sarai Orellana, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

2000056251 Issued in CA

Practice address

7447 Scholar Way
Eastvale, CA 92880-4019

Phone

(951) 738-2100

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1285468397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MACY ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102042",
            "telephone_number": "909-265-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 SCHOLAR WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804019",
            "telephone_number": "951-738-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "DAMARIS",
        "middle_name": "SARAI",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "2000056251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Farooqi MD Inc
• One Choice Medical Transport
• One Vision Optometry
• Christiana Adutwumwaa Opoku, RN
• Maria Orantes King, DACM LAC
• Michelle Ornelas
• Jhon Stiwar Ortega Ayala
• Caroline Chika Osuji, NP
• Alazigha Owei, OD
• Yvonne Owuor, PMHNP-BC, RN

• Sports Medicine (Emergency Medicine) Physician in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Sports Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.