Individual provider Active NPI

Carmen Cortez Ortega

  • Physician Assistant
  • Reseda, CA
National Provider Identifier
1558911602
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18518 Sherman Way
Reseda, CA 91335-4212
Phone
(818) 757-0954
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

18518 Sherman Way
Reseda, CA 91335-4212

Mailing address

18518 Sherman Way
Reseda, CA 91335-4212
Phone (818) 757-0954

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260508002174 CA Practitioner - Physician Assistant 7012485998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18518 Sherman Way
Reseda, CA 91335-4212

2515 Lomita St
Camarillo, CA 93010-6659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cisco Medical Group, Inc CurrentSince Apr 23, 2026 Accepting new patients
Cisco Medical Group, Inc CurrentSince Apr 23, 2026 Accepting new patients

Locations

290 E Verdugo Ave
Ste 206
Burbank, CA 91502
Phone (818) 556-5673

18518 Sherman Way
Reseda, CA 91335
Phone (818) 757-0954

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25605/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1558911602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354212",
            "telephone_number": "818-757-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354212",
            "telephone_number": "818-757-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ ORTEGA",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.