DR. VICTORIA LEE OTA D.O.
NPI 1164616140
Family Medicine in Atascadero, CA
About Dr. Victoria Lee Ota D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VICTORIA LEE OTA D.O. (NPI 1164616140) is an individual family medicine provider in Atascadero, California, licensed in California (20A9487) and active in the NPI registry since August 2007. She has opted out of Medicare through October 1, 2028 and remains eligible to order and refer and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Victoria Lee Ota D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATASCADERO, CA 93422
ATASCADERO, CA 93422
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 Victoria Ota's NPI number?
The NPI number for Victoria Ota is 1164616140. It was assigned to this individual provider in the NPPES registry on August 31, 2007.
Where is Victoria Ota located?
Victoria Ota practices at 10333 El Camino Real, Atascadero, CA 93422. The listed phone number is (805) 468-2000.
What is Victoria Ota's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Victoria Ota enrolled in Medicare?
No. Victoria Ota has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Victoria Ota was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Dr. Victoria Lee Ota, D.O. · NPI 1164616140
Family Medicine physician in Atascadero, California. Individual provider, active in the CMS NPPES registry since August 31, 2007.
## Identity
- **NPI:** 1164616140 (Entity type: Individual)
- **Enumerated:** August 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A9487 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10333 EL CAMINO REAL, Atascadero, CA 93422-5808
- **Phone:** (805) 468-2000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2028); services are provided under private contract
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164616140) · Data from the CMS NPPES public registry.