Individual provider Active NPI

Vanessa Ortiz, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Altos, CA
National Provider Identifier
1841374683
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
GG80175 Issued in CA
Practice address
851 Fremont Ave
Suite 109
Los Altos, CA 94024-5698
Phone
(650) 941-1040
Fax
(650) 941-1001
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X GG80175 CA Primary

Addresses

Primary practice location

851 Fremont Ave
Suite 109
Los Altos, CA 94024-5698

Mailing address

851 Fremont Ave
Suite 109
Los Altos, CA 94024-5698
Phone (650) 941-1040

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
I20040819000580 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 4486627130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

15047 Los Gatos Blvd
Suite 200
Los Gatos, CA 95032-2054
Phone (408) 364-6799

4400 Capitola Rd
Suite 200
Capitola, CA 95010-3571
Phone (831) 426-9302

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151

454 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GG80175CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jan 1, 2021 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

3425 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 356-5292

4400 Capitola Rd
Ste 200
Capitola, CA 95010
Phone (831) 426-9302

851 Fremont Ave
Ste 109
Los Altos, CA 94024
Phone (650) 559-1000

15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799

18181 Butterfield Blvd
Ste 140
Morgan Hill, CA 95037
Phone (408) 356-5292

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841374683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 109",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-941-1040",
            "fax_number": "650-941-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 109",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-941-1040",
            "fax_number": "650-941-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "GG80175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.