Individual provider Active NPI

Edgar Ortega, MD

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1417440728
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A164828 Issued in CA
Practice address
6180 Brockton Ave Ste 103
Riverside, CA 92506-2259
Phone
(951) 900-8989
Fax
(951) 723-8068
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 A164828 CA Primary

Addresses

Primary practice location

6180 Brockton Ave Ste 103
Riverside, CA 92506-2259

Mailing address

4014 Garden Home CT
Riverside, CA 92506-1850
Phone (951) 465-5136

Other practice location 1

9990 County Farm Rd
Riverside, CA 92503-3542
Phone (951) 486-5435

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
I20220726001641 CA Practitioner - Psychiatry 6901287796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Un of California, Riverside, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6180 Brockton Ave
Suite 103
Riverside, CA 92506-2259
Phone (951) 900-8989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164828CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jul 15, 2022 Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Jul 15, 2022 Accepting new patients
Orted Medical Inc Psychiatry CurrentSince Aug 30, 2024 Accepting new patients
University of California, Health Riverside PastSince Aug 6, 2019 Accepting new patients

Locations

31571 Canyon Estates Dr
Ste 225
Lake Elsinore, CA 92532
Phone (714) 878-5873

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

6180 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (951) 900-8989

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Interoperability endpoints

  • Direct secure messaging: edgar.ortega.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 5

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1417440728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 GARDEN HOME CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061850",
            "telephone_number": "951-465-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062259",
            "telephone_number": "951-900-8989",
            "fax_number": "951-723-8068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9990 County Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033542",
            "country_code": "US",
            "telephone_number": "951-486-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "EDGAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A164828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.