MR. ERNEST ORTIZ JR. PA-C
NPI 1275889735
Physician Assistant in Venice, CA

Active since August 01, 2012PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636(310) 392-7875 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Jun 16, 2017 (2 updates tracked since 2017).

About Mr. Ernest Ortiz Jr. Pa-c NPPES

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

MR. ERNEST ORTIZ JR. PA-C (NPI 1275889735) is an individual physician assistant in Venice, California, licensed in California (PA22433) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275889735
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ERNEST ORTIZ JR.Credential: PA-C
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636 · Fax (310) 392-7875
Fax(310) 392-7875
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 1, 2012
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1275889735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22433
Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA22433 (CA)
604 ROSE AVE, Venice, CA 90291

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

Mr. Ernest Ortiz Jr. Pa-c 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 ID4284881061
PECOS Enrollment IDI20120830000025
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dentist
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291

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 Ernest Ortiz's NPI number?

The NPI number for Ernest Ortiz is 1275889735. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is Ernest Ortiz located?

Ernest Ortiz practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Ernest Ortiz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ernest Ortiz enrolled in Medicare?

Yes. Ernest 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 Ernest Ortiz was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.