Individual provider Active NPI

Constance Jayne Ornelas, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
National Provider Identifier
1689837767
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4930 Issued in CA
Practice address
3747 Worsham Ave
#201
Long Beach, CA 90808-1774
Phone
(562) 420-9800
Fax
(562) 420-9884
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL 1761 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4930 CA Primary

Addresses

Primary practice location

3747 Worsham Ave
#201
Long Beach, CA 90808-1774

Mailing address

3747 Worsham Ave
#201
Long Beach, CA 90808-1774
Phone (562) 420-9800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000256 CA Practitioner - Podiatry 8527237692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Foley Podiatric MedicalGroup PAC ID 9638381387, 2 clinicians

Practice addresses (Care Compare)

3747 Worsham Ave
Suite 201
Long Beach, CA 90808-1734
Phone (562) 420-9800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue271
Removal or shaving of skin growth152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL 1761CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Foley Podiatric Medical Foot & Ankle Surgery CurrentSince Aug 1, 2011 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Donald P Feigelson DPM,Inc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

3747 Worsham Ave
Ste 201
Long Beach, CA 90808
Phone (562) 420-9800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: constanceornelas@sfaac-ca.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1689837767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "address_2": "#201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-420-9800",
            "fax_number": "562-420-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "address_2": "#201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-420-9800",
            "fax_number": "562-420-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "CONSTANCE",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL 1761",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.