Individual provider Active NPI

Maybelle Leigh Ornopia Ursales, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1720375181
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A123021 Issued in CA
Practice address
4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680
Phone
(916) 575-8000
Fax
(916) 575-8099
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A123021 CA
Family Medicine Physician 207Q00000X A123021 CA Primary

Addresses

Primary practice location

4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307000318 CA Practitioner - Family PracticePractitioner - Emergency Medicine 3072897206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

4400 Duckhorn Dr
Suite 100
Sacramento, CA 95834-2680
Phone (916) 575-8000

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A123021CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 28, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jan 28, 2017 Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 13, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 13, 2023 Accepting new patients
Catholic Healthcare West Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1720375181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 DUCKHORN DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342680",
            "telephone_number": "916-575-8000",
            "fax_number": "916-575-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSALES",
        "first_name": "MAYBELLE LEIGH",
        "middle_name": "ORNOPIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A123021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A123021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.