Gabriel Ortiz

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

ATR-009322 Issued in AZ

Practice address

1705 S San Francisco St
Flagstaff, AZ 86011-0001

Phone

(619) 259-1011

NPI assigned

Mar 1, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1699474304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N INVERRARY WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047575",
            "telephone_number": "619-259-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110001",
            "telephone_number": "619-259-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AZ",
            "license": "ATR-009322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kevin Oros, D.O.
• Neina Orrillo, CRNA
• Catherine Mariah Orth
• Orthodontics of Flagstaff PC
• Emily Claire Ortiz, MS, RDN
• Bethany L Osorio
• Robin Rachelle Osullivan, PSYD
• Over the Rainbow Butterfly Garden
• Ashley Overall, CNP
• Andrew James Overhiser, M.D.

• Sports Medicine (Emergency Medicine) Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Sports Medicine (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.