Individual provider Active NPI

Orlando R Deherrera, D.O.

  • Family Medicine Physician
  • Monte Vista, CO
National Provider Identifier
1548323348
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0035425 Issued in CO
Practice address
1033 2ND Ave
Monte Vista, CO 81144-1737
Phone
(719) 852-8827
NPI assigned
Dec 19, 2006
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR0035425 CO Primary

Addresses

Primary practice location

1033 2ND Ave
Monte Vista, CO 81144-1737

Mailing address

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20121221000178 CO Practitioner - Family Practice 4486640802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Citizens' Foundation for Health Care IncGroup PAC ID 7517951536, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0035425COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Mar 1, 2024 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley PastSince Dec 10, 2012 Accepting new patients
NPI 1205652047 Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

310 County Road 14
Unit C
Del Norte, CO 81132
Phone (719) 657-2418

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1548323348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 2ND AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441737",
            "telephone_number": "719-852-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 2ND AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441737",
            "telephone_number": "719-852-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHERRERA",
        "first_name": "ORLANDO",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0035425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monte Vista, CO

Sources for this page

Verify at the official NPI Registry.