Individual provider Active NPI

Brandon A Ortega, MD

  • Orthopaedic Surgery of the Spine Physician
  • Long Beach, CA
National Provider Identifier
1881135069
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A157836 Issued in CA
Practice address
1124 E Pacific Coast Hwy # 1143
Long Beach, CA 90806-5102
Phone
(562) 285-7075
NPI assigned
Mar 20, 2017
Last updated
Apr 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A157836 CA
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X A157836 CA Primary

Addresses

Primary practice location

1124 E Pacific Coast Hwy # 1143
Long Beach, CA 90806-5102

Mailing address

1124 E Pacific Coast Hwy # 1143
Long Beach, CA 90806-5102
Phone (562) 285-7075

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20210719002734 CA Practitioner - Orthopedic Surgery 2365796935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commons Clinic Medical Group, PCGroup PAC ID 6204221096, 21 clinicians
Sports and Spine OrthopaedicsGroup PAC ID 8224028378, 14 clinicians

Practice addresses (Care Compare)

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6393
Phone (310) 437-7925

23456 Hawthorne Blvd
Suite 200
Torrance, CA 90505-4716
Phone (310) 742-8388

3828 Schaufele Ave
Suite 320
Long Beach, CA 90808-1793
Phone (562) 348-4588

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion80
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157836CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2022 Accepting new patients
Long Beach - Lakewood Orthopedic Institute Orthopaedic Surgery CurrentSince Jun 6, 2023 Accepting new patients
Long Beach - Lakewood Orthopedic Institute Orthopaedic Surgery Current Accepting new patients
Sports and Spine Orthopaedics Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Commons Clinic Medical Group, PC Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Luke Kamel MD Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Tustin Irvine Medical Group, Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Cutting Edge Surgery Center, LLC Past Accepting new patients
Commons Clinic Medical Network, PC Past Accepting new patients

Locations

2361 Rosecrans Ave
Ste 165
El Segundo, CA 90245
Phone (310) 378-8700

5750 Downey Ave
Ste 308
Lakewood, CA 90712
Phone (562) 633-3757

3828 Schaufele Ave
Ste 320
Long Beach, CA 90808
Phone (562) 348-4588

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3800
Sacramento, CA 95817
Phone (916) 734-2807

23456 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 375-8700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bortega796641@direct.memorialcare.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1881135069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E PACIFIC COAST HWY # 1143",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065102",
            "telephone_number": "562-285-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E PACIFIC COAST HWY # 1143",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065102",
            "telephone_number": "562-285-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "BRANDON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A157836",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A157836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.