Luis Carlos O Ortega

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

LUIS CARLOS O ORTEGA

Practice address

620 S Tonopah Dr
Las Vegas, NV 89106-4029

Phone

(702) 413-1391

Fax

(702) 413-1392

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Luisa Carla Ortega

Title

Secretary

Phone

(702) 629-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Luis Carlos O Ortega Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Luis Carlos O Ortega2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luis Carlos Ortega, MD

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
  • NPI 1447964861
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Michelle Arbolario, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1962197111
  Medicare reassignment NPD
• Valerie Camille-Siazon Archer, APRN, PMHNP

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1881240216
  Medicare reassignment NPD
• Luis Carlos Ortega, M.D.

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
  • NPI 1831296904
  Medicare reassignment NPD
• Kevin Roa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1609597392

  Single Specialty

  Medicare reassignment NPD
• Amanda Westlund, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1184096505
  Medicare reassignment NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1760195796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-413-1391",
            "fax_number": "702-413-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-413-1391",
            "fax_number": "702-413-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS CARLOS O ORTEGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "CARLA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-629-0131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019513",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sotware",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 S Tonopah Dr",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891064029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Luis Carlos O Ortega",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eddy H Luh, M.D.,
• Henry Luh, DO
• Michelle Yuen-Ling Luh
• Wai Man Lui
• Luis a Moreno Jr MD Professional Corporation
• Luis Carlos Ortega, MD
• Luis G N Panuncialman M D Inc
• Luis Leon Diaz MD PC
• Luis Lopez-Benitez MD LTD
• Luis Medina-Garcia MD PLLC

• Geriatric Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.