Active NPI
Kacie Lynn Orozco, FNP
- Family Nurse Practitioner
- Victorville, CA
National Provider Identifier
1306369376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A55207 | CA | MD | Specialist |
| 95006736 | CA | MD | Family Nurse Practitioner |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirag P. Mehta, MD Inc. | Current | 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
- 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.
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1639401987
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.