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NPI 1902348527ActiveOrganization· Preferred Provider Organization· San Diego, CA

Preferred Provider Organization in San Diego, California, registered in NPPES in November 2016. The authorized official on file is Azila S. Ortiz, Administrator.

Overview

NPI1902348527
StatusActive
Entity typeOrganization
NPI issuedNov 14, 2016
Last updated in NPPESNov 14, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X374602950CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in San Diego

All Preferred Provider Organization providers in California →