Active NPI
Ana Karen Ortiz Ilizaliturri, MD, MPH
- Family Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A178949
- Practice address
- 435 H St
Cv112
Chula Vista, CA 91910 - Phone
- (619) 691-7587
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Family Medicine Physician | 207Q00000X | A178949 | CA | Primary |
Addresses
Primary practice location
435 H St
Cv112
Chula Vista, CA 91910
Mailing address
435 H Street
Cv112
Chula Vista, CA 91910
Phone (619) 691-7587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL172 | Other | CA | POSTGRADUATE TRAINING LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178949 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic Inc. | Current | Accepting new patients | |
| Scripps Mercy Physicians Cardiology Medical Corporation | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients |
Locations
435 H St
#112
Chula Vista, CA 91910
Phone (619) 691-5787
678 Third Ave
Chula Vista, CA 91910
Phone (619) 205-6349
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
217 Highland Ave
National City, CA 91950
Phone (619) 280-4213
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Interoperability endpoints
- aortizllizaliturri34414@scrippshlth.medalliesdirect.net
- ana.ortizilizaliturri.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 9
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.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
dba La Maestra Community Health Centers
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1477644474
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health Maternal & Child Health Center
- Federally Qualified Health Center (FQHC)
- San Ysidro, CA
- NPI 1558852947
-
dba La Maestra Community Health Centers
- Health Service Clinic/Center
- El Cajon, CA
- NPI 1740881085
-
dba La Maestra Community Health Centers
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1316407026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 H STREET",
"address_2": "CV112",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91910",
"telephone_number": "619-691-7587",
"fax_number": "619-240-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 H ST",
"address_2": "CV112",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91910",
"telephone_number": "619-691-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ ILIZALITURRI",
"first_name": "ANA",
"middle_name": "KAREN",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A178949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POSTGRADUATE TRAINING LICENSE",
"identifier": "PTL172",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.