Individual provider Active NPI

Kacie Lynn Orozco, FNP

  • Family Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1306369376
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006736 Issued in CA
Practice address
17290 Jasmine St
Victorville, CA 92395-7709
Phone
(760) 951-2400
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A55207 CA
Family Nurse Practitioner 363LF0000X 95006736 CA Primary

Addresses

Primary practice location

17290 Jasmine St
Victorville, CA 92395-7709

Mailing address

17290 Jasmine St
Victorville, CA 92395-7709
Phone (760) 951-2400

Other practice location 1

12760 Hesperia Rd Ste C
Victorville, CA 92395-8305
Phone (760) 338-0911

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202002399 CA Practitioner - Nurse Practitioner 3072984350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A55207CAMDSpecialist
95006736CAMDFamily Nurse Practitioner

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Chirag P. Mehta, MD Inc. CurrentSince Jan 8, 2024 Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients

Locations

18002 Wika Rd
Apple Valley, CA 92307
Phone (760) 946-2243

12760 Hesperia Rd
Ste C
Victorville, CA 92395
Phone (760) 241-8088

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kacieorozco@dmmd.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1306369376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17290 JASMINE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957709",
            "telephone_number": "760-951-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 JASMINE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957709",
            "telephone_number": "760-951-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 Hesperia Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958305",
            "country_code": "US",
            "telephone_number": "760-338-0911",
            "fax_number": "760-243-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "KACIE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A55207",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.