Organization Active NPI

R & L Ortega PLLC

Doing business as Abundant Life Family Medicine

  • Clinic/Center
  • Ada, OK
National Provider Identifier
1770609042
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
23586 Issued in OK
Legal business name
R & L ORTEGA PLLC
Doing business as
Abundant Life Family Medicine
Practice address
520 N Monte Vista St
Suite a
Ada, OK 74820-4674
Phone
(580) 272-0922
Fax
(580) 272-0811
NPI assigned
Mar 21, 2007
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Leandrita Flores Ortega, MD
Title
Manager
Phone
(580) 272-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 23586 OK Primary

Addresses

Primary practice location

520 N Monte Vista St
Suite a
Ada, OK 74820-4674

Mailing address

520 N Monte Vista St
Suite a
Ada, OK 74820-4674
Phone (580) 272-0922

Other identifiers 1

IdentifierTypeStateIssuer
200102180AMedicaidOK

Other names 1

  • Abundant Life Family Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1770609042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MONTE VISTA ST",
            "address_2": "SUITE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204674",
            "telephone_number": "580-272-0922",
            "fax_number": "580-272-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MONTE VISTA ST",
            "address_2": "SUITE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204674",
            "telephone_number": "580-272-0922",
            "fax_number": "580-272-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & L ORTEGA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "LEANDRITA",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-272-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "23586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Life Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.