Individual provider Active NPI

Sebastian L Ornopia, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1336164607
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11463 Issued in NV
Practice address
5460 W Sahara Ave
Las Vegas, NV 89146
Phone
(702) 396-8834
Fax
(702) 396-6550
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11463 NV Primary

Addresses

Primary practice location

5460 W Sahara Ave
Las Vegas, NV 89146

Mailing address

889 S Rainbow Blvd
#647
Las Vegas, NV 89145-6238
Phone (702) 396-8834

Other identifiers 1

IdentifierTypeStateIssuer
100507163MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051010000676 NV Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7810800455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11463NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastian L Ornopia MD LLC Psychiatry CurrentSince Jan 1, 2006 Accepting new patients
Frontier Health Past Accepting new patients
Porferia Montesclaros MD LLC Psychiatry Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Porferia D Montesclaros, MD, LLC Past Accepting new patients
Wellmont Physician Services Inc Past Accepting new patients

Locations

5460 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 396-8834

7000 Spring Mountain Rd
Las Vegas, NV 89117
Phone (702) 493-3676

889 S Rainbow Blvd
#647
Las Vegas, NV 89145

889 S Rainbow Blvd
Ste 647
Las Vegas, NV 89145

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1336164607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S RAINBOW BLVD",
            "address_2": "#647",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "telephone_number": "702-396-8834",
            "fax_number": "702-396-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-396-8834",
            "fax_number": "702-396-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNOPIA",
        "first_name": "SEBASTIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507163",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.