Gina C Ortiz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2008-0049 Issued in NM

Practice address

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780

Phone

(505) 984-2300

Fax

(505) 988-1940

NPI assigned

Feb 11, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gina.ortiz@52875635064836.direct.elationemr.com

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

• Santa Fe Medical Group, LLC

  • Primary Care Clinic/Center
  • Santa Fe, NM
  • NPI 1851401103
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1679712897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GINA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2008-0049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73220566",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ortiz
• Angela Ortiz
• Christina Ortiz
• Christine E Ortiz, BMS
• Elizabeth Maria Ortiz, PT
• Joshua Ortiz
• Julie Marie Ortiz, PHARMD
• Michael A Ortiz
• Monique Flora Ortiz
• Richard Ortiz, BMS

• Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, 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 Feb 11, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.