Organization Active NPI

Evelyn a Ortega MD Inc

  • General Practice Physician
  • West Covina, CA
National Provider Identifier
1477799682
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EVELYN A ORTEGA MD INC
Practice address
910 S Sunset Ave
Suite 5
West Covina, CA 91790-3409
Phone
(626) 960-2771
Fax
(626) 960-8112
NPI assigned
Dec 18, 2008
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Evelyn A Ortega, MD
Title
President
Phone
(626) 960-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

910 S Sunset Ave
Suite 5
West Covina, CA 91790-3409

Mailing address

PO Box 1611
West Covina, CA 91793-1611
Phone (626) 960-2771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1477799682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917931611",
            "telephone_number": "626-960-2771",
            "fax_number": "626-960-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE",
            "address_2": "SUITE 5",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-960-2771",
            "fax_number": "626-960-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN A ORTEGA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-2771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.