Active NPI
Robert Wayne Ortego, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1528406766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CFE30230
- Practice address
- 5455 Sylmar Ave.
Suite 2302
Los Angeles, CA 91401-5124 - Phone
- (818) 786-0753
- NPI assigned
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CFE30230 | CA | Primary |
Addresses
Primary practice location
5455 Sylmar Ave.
Suite 2302
Los Angeles, CA 91401-5124
Mailing address
5455 Sylmar Ave.
Suite 2302
Los Angeles, CA 91401-5124
Phone (818) 786-0753
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFE30230 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1528406766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 SYLMAR AVE.",
"address_2": "SUITE 2302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "914015124",
"telephone_number": "818-786-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 SYLMAR AVE.",
"address_2": "SUITE 2302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "914015124",
"telephone_number": "818-786-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGO",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "CFE30230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.