Active NPI
Angela Marie Ornelas, DC
- Chiropractor
- San Jose, CA
National Provider Identifier
1669569919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16792
- Practice address
- 2046 Camden Avenue
San Jose, CA 95124 - Phone
- (408) 559-6128
- Fax
- (408) 371-9963
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16792 | CA | Primary |
Addresses
Primary practice location
2046 Camden Avenue
San Jose, CA 95124
Mailing address
2046 Camden Avenue
San Jose, CA 95124
Phone (408) 559-6128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000557 | CA | Practitioner - Chiropractic | 9133394059 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16792 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1669569919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 CAMDEN AVENUE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-559-6128",
"fax_number": "408-371-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 CAMDEN AVENUE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-559-6128",
"fax_number": "408-371-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNELAS",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.