Taylor Ann Ortega-Calzadillas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2019-0099 Issued in NM

Practice address

3917 West Rd Ste 150
Los Alamos, NM 87544-5303

Phone

(505) 662-4351

Fax

(505) 662-2932

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Dermatology,P.a.Group PAC ID 2668468398, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mountain View Dermatology,P.a.

  • Dermatology Physician
  • El Paso, TX
  • NPI 1255407441
  Medicare reassignment Care Compare group
• Los Alamos Medical Care Clinic LTD

  • Multi-Specialty Clinic/Center
  • Los Alamos, NM
  • NPI 1801816293
  Medicare reassignment

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1649815168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445303",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445303",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA-CALZADILLAS",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2019-0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern New Mexico Surgery
• Northern New Mexico Urology LLC
• Nutrition Therapy New Mexico LLC
• Lalaine Grace Fabella Ochoada, PT
• Kacey Elizabeth Odum, COTA/L
• Ortiz & Moss Dental Associates, P.C
• Nereida Ortiz, DDS
• Lynn Ovaska, MA, LPCC
• Joseph Sam Padilla
• Lori A Padilla, LPCC

• Physician Assistant in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.