Active NPI
Constance Jayne Ornelas, D.P.M
- Foot & Ankle Surgery Podiatrist
- Long Beach, CA
National Provider Identifier
1689837767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4930
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 37 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 271 |
| Removal or shaving of skin growth | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL 1761 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Foley Podiatric Medical | Foot & Ankle Surgery | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Long Beach, CA
- NPI 1760679583
Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- Los Angeles, CA
- NPI 1932371317
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.