Active NPI
Robert Carlos Ortega II
- Community Health Worker
- Las Vegas, NM
National Provider Identifier
1366216129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2528 Ridge Runner Rd
Las Vegas, NM 87701-4971 - Phone
- (505) 425-2622
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NM | Primary |
Addresses
Primary practice location
2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Mailing address
2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Phone (505) 425-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Counseling, Inc | Current | Accepting new patients |
Locations
2528 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2622
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Mora, NM
- NPI 1750715645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1366216129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 RIDGE RUNNER RD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014971",
"telephone_number": "505-425-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 RIDGE RUNNER RD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014971",
"telephone_number": "505-425-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "ROBERT",
"middle_name": "CARLOS",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.