MR. ERNEST JR. ORTIZ JR. (NPI# 1275889735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275889735 |
| Entity Type | Individual |
| Full Name | MR. ERNEST JR. ORTIZ JR. |
| Credential | PA-C |
| Practice Address |
604 Rose Ave Venice CA 90291-2767 |
| Practice Telephone | 3103928636 |
| Practice Fax Number | 3103927875 |
| Mailing Telephone | (310) 392-8636 |
| Mailing Fax Number | 3103927875 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2017-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22433 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22433 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457562498 | Ernest Edward Ortiz | Chiropractor | 44428 10th St W, Lancaster, CA 93534-3325 | 2007-05-24 |
| 1912470691 | Ernest Joshua Ortiz | Physical Therapy Assistant | 5505 S Expressway 77 Ste 200, Harlingen, TX 78550-3222 | 2019-01-06 |
| Street Address |
604 ROSE AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655047 | Samantha Andrien Stewart | Psychiatry & Neurology | 604 Rose Ave, Venice, CA 90291-2767 | 2005-11-03 |
| 1740730050 | Kayla Sunhee Pang | Pharmacist | 604 Rose Ave, Venice, CA 90291-2767 | 2016-10-11 |
| 1851741896 | Victor Luis Mleczko | Family Medicine | 604 Rose Ave, Venice, CA 90291 | 2016-06-21 |
| 1568818227 | Meagan Wong | Family Medicine | 604 Rose Ave, Venice, CA 90291-2767 | 2016-05-11 |
| 1588027932 | Janet Chaidez | Nurse Practitioner | 604 Rose Ave, Venice, CA 90291 | 2016-04-03 |
| 1578926986 | Mimie Hoang Anh Tran | Family Medicine | 604 Rose Ave, Venice, CA 90291-2767 | 2016-04-02 |
| 1245695006 | Bridget Kelleher | Nurse Practitioner | 604 Rose Ave, Venice, CA 90291-2767 | 2015-12-22 |
| 1619341773 | Kristin Grannis | Marriage & Family Therapist | 604 Rose Ave, Venice, CA 90291-2767 | 2015-11-30 |
| 1730558842 | Ivy Doris Chang | Social Worker | 604 Rose Ave, Venice, CA 90291-2767 | 2015-09-18 |
| 1265808547 | Danielle Sinkford | Registered Nurse | 604 Rose Ave, Venice, CA 90291-2767 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730250 | Ciara O'connor | Physician Assistant | 836 Sunset Lake Blvd Ste 102, Venice, FL 34292-7555 | 2019-09-25 |
| 1386005585 | Maris Smith | Physician Assistant | 429 Park Lane Dr, Venice, FL 34285-1424 | 2016-03-15 |
| 1205259108 | Michelle Emily Fallis | Physician Assistant | 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 | 2014-01-28 |
| 1942556121 | Charles Michael Kayat | Physician Assistant | 109 Venice Palms Blvd, Venice, FL 34292-2446 | 2012-07-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1265669311 | James E Asaph | Physician Assistant | 1505 Tamiami Trl S Ste 405, Venice, FL 34285-5547 | 2009-06-16 |
| 1922167550 | Krista Rene Gorman | Physician Assistant | 959 E Venice Ave, Venice, FL 34285-7056 | 2006-12-08 |
| 1851472187 | Michael A Banuchi | Physician Assistant | 1295 Jacaranda Blvd., Venice, FL 34292-4522 | 2006-10-17 |
| 1679669402 | Barbara B. Burke | Physician Assistant | 516 Venezia Pkwy, Venice, FL 34285 | 2006-10-05 |
| 1073525655 | Ryan Beadle | Physician Assistant | 21550 Angela Ln, Venice, FL 34293-2017 | 2006-08-12 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.