Organization Active NPI

Sebastian L Ornopia MD LLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1912086851
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11463 Issued in NV
Legal business name
SEBASTIAN L ORNOPIA MD LLC
Practice address
5460 W Sahara Ave
Las Vegas, NV 89146-3307
Phone
(702) 396-8834
Fax
(702) 396-6550
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Sebastian L Ornopia, MDNPI 1336164607
Title
President Owner
Phone
(702) 396-8834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 11463 NV Primary

Addresses

Primary practice location

5460 W Sahara Ave
Las Vegas, NV 89146-3307

Mailing address

889 S Rainbow Blvd
#647
Las Vegas, NV 89145-6238
Phone (702) 396-8834

Other identifiers 1

IdentifierTypeStateIssuer
100507163MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071218000346 NV Part B Supplier - Clinic/Group Practice 8527158286 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

889 S Rainbow Blvd
#647
Las Vegas, NV 89145

889 S Rainbow Blvd
Ste 647
Las Vegas, NV 89145

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1912086851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S RAINBOW BLVD",
            "address_2": "#647",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "telephone_number": "702-396-8834",
            "fax_number": "702-396-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463307",
            "telephone_number": "702-396-8834",
            "fax_number": "702-396-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN L ORNOPIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "ORNOPIA",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "702-396-8834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507163",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.