Individual provider Active NPI

Ana Karen Ortiz Ilizaliturri, MD, MPH

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1316407026
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A178949 Issued in CA
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

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PTL172OtherCAPOSTGRADUATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913004136 CA Practitioner - Family Practice 6901281831 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178949CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic Inc. CurrentSince Oct 31, 2023 Accepting new patients
Scripps Mercy Physicians Cardiology Medical Corporation CurrentSince Sep 4, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Aug 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Oct 31, 2023 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Aug 1, 2024 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Aug 1, 2022 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

  • Direct secure messaging: aortizllizaliturri34414@scrippshlth.medalliesdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.