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DR. KENNETH KALEOALOHA ORTIZ M.D.
NPI 1356761571
Family Medicine in Alpine, CA

Active since April 27, 2014PECOS EnrolledAccepts Medicare Assignment
4058 WILLOWS RD, ALPINE, CA 91901(800) 400-1189 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Kaleoaloha Ortiz M.d. NPPES

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

DR. KENNETH KALEOALOHA ORTIZ M.D. (NPI 1356761571) is an individual family medicine provider in Alpine, California, licensed in California (A156607) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356761571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH KALEOALOHA ORTIZCredential: M.D.
Location Address4058 WILLOWS RDAlpine, CA 91901-1668
Mailing Address4058 Willows RdAlpine, CA 91901-1668 · (800) 400-1189
Phone(800) 400-1189
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 27, 2014
Last NPPES UpdateAugust 23, 2018
✔ NPI 1356761571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A156607
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4058 WILLOWS RD, Alpine, CA 91901
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Secondary Practice Location 1

Location 11356 Lusitana St Ste 510Honolulu, HI 96813-2409 · Phone (808) 586-2890

Other Identifiers 3

OtherA1566607CA · Ca Md License
OtherMD181044OR · Or Md License
OtherMD60747855WA · Wa Md License

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

Dr. Kenneth Kaleoaloha Ortiz M.d. 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 ID3971878810
PECOS Enrollment IDI20190703001987
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 91901 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

DR. LLOYD PIERRE LA PLANT JR. D.D.S.
Dentist
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
DR. MICHAEL DAVID WALKER M.D.
Family Medicine
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
NILOUFAR SALEHI D.O.
Family Medicine
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
TAMI MASON LMFT
Marriage & Family Therapist
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
JEAN GAIL MULLENAX MD
Pediatrics
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
LACEY DANIELLE ARMSTRONG
Dental Hygienist
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
DANIEL CUELLAR RN
Registered Nurse (Administrator)
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188
AMY R. TART
Dental Hygienist
4058 WILLOWS RD
ALPINE, CA 91901
San Diego County (619) 445-1188

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 Kenneth Ortiz's NPI number?

The NPI number for Kenneth Ortiz is 1356761571. It was assigned to this individual provider in the NPPES registry on April 27, 2014.

Where is Kenneth Ortiz located?

Kenneth Ortiz practices at 4058 Willows Rd, Alpine, CA 91901. The listed phone number is (800) 400-1189.

What is Kenneth Ortiz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Ortiz enrolled in Medicare?

Yes. Kenneth 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 Kenneth Ortiz was last updated on August 23, 2018. 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.