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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE ORTIZ MD
NPI 1114585957
Physical Medicine & Rehabilitation - Pain Medicine in San Diego, CA

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
5643 COPLEY DR STE 110, SAN DIEGO, CA 92111(858) 215-4512(858) 737-1452 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jun 5, 2019 (2 updates tracked since 2019).

About Nicole Ortiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ORTIZ MD (NPI 1114585957) is an individual pain medicine provider in San Diego, California, licensed in California (197390) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1114585957
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameNICOLE ORTIZCredential: MD
Location Address5643 COPLEY DR STE 110San Diego, CA 92111-7903
Mailing Address5643 Copley Drive, Suite 110San Diego, CA 92111 · (858) 215-4512 · Fax (858) 737-1452
Phone(858) 215-4512
Fax(858) 737-1452
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1114585957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 197390
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
5643 COPLEY DR STE 110, San Diego, CA 92111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Ortiz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961936471
PECOS Enrollment IDI20241106002497
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Ortiz's NPI number?

The NPI number for Nicole Ortiz is 1114585957. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Nicole Ortiz located?

Nicole Ortiz practices at 5643 Copley Dr Ste 110, San Diego, CA 92111. The listed phone number is (858) 215-4512.

What is Nicole Ortiz's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Nicole Ortiz enrolled in Medicare?

Yes. Nicole Ortiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Ortiz was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.