Leticia Isabel Ortega, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95024867 Issued in CA

Practice address

6833 Indiana Ave Ste 101
Riverside, CA 92506-4223

Phone

(657) 346-6319

Fax

(951) 269-4184

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leticia Isabel Aguilar Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nebula Health, LLCGroup PAC ID 8820482805, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nebula Health, LLC

  • Adult Mental Health Clinic/Center
  • Riverside, CA
  • NPI 1194479501
  Medicare reassignment Care Compare group NPD
• Nebula Health, P. C.

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1770357147
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1427745447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 SIERRA LAKES PKWY # 160-349",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "657-346-6319",
            "fax_number": "951-269-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17330 Bear Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923953330",
            "country_code": "US",
            "telephone_number": "951-289-5424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1073 Ross Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922434371",
            "country_code": "US",
            "telephone_number": "760-970-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "LETICIA",
        "middle_name": "ISABEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETICIA",
            "last_name": "AGUILAR",
            "middle_name": "ISABEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Ortega
• Edgar Ortega, MD
• Jose Antonio Ortega
• Jovannah Ortega
• Kimberly Yanet Ortega
• Lucy Ortega
• Michael Anthony Ortega Jr.
• Natalie Ortega
• Noe Ortega
• Rebecca G Ortega

• Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.