Organization Active NPI

Luis Carlos Ortega, MD

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1447964861
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
LUIS CARLOS ORTEGA, MD
Practice address
620 S Tonopah Dr
Las Vegas, NV 89106-4029
Phone
(702) 413-1391
Fax
(702) 413-1392
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Christina Ortega
Title
Manager
Phone
(702) 326-9738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

620 S Tonopah Dr
Las Vegas, NV 89106-4029

Mailing address

620 S Tonopah Dr
Las Vegas, NV 89106-4029
Phone (702) 413-1391

National Provider Directory

National Provider Directory
Tax ID family
Luis Carlos O Ortega2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

620 S Tonopah Dr
Las Vegas, NV 89106
Phone (702) 413-1391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1447964861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-413-1391",
            "fax_number": "702-413-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-413-1391",
            "fax_number": "702-413-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS CARLOS ORTEGA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-326-9738"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.