Individual provider Active NPI

Eduardo Ornedo

  • Pediatrics Physician
  • El Monte, CA
National Provider Identifier
1891807400
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A42944 Issued in CA
Practice address
10953 Ramona Blvd
El Monte, CA 91731-2629
Phone
(626) 579-8463
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

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
Pediatrics Physician 208000000X A42944 CA Primary

Addresses

Primary practice location

10953 Ramona Blvd
El Monte, CA 91731-2629

Mailing address

10953 Ramona Blvd
El Monte, CA 91731-2629
Phone (626) 579-8463

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
I20040212000298 CA Practitioner - Pediatric Medicine 2163316829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42944CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Nov 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Nov 1, 2018 Accepting new patients
County of Los Angeles Current Accepting new patients
Qualcare Hospice Inc PastSince Oct 7, 2014 Accepting new patients
Trusted Healthcare, Inc. PastSince Dec 27, 2013 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trusted Healthcare IncCovina, CA, CCN 059691 Home health agency W-2 Managing Employee Dec 27, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891807400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10953 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312629",
            "telephone_number": "626-579-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10953 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312629",
            "telephone_number": "626-579-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNEDO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.