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THEADORA VIOLET ORDOG MD
NPI 1508515164
Pediatrics in Tustin, CA

Active since March 21, 2022PECOS Enrolled
1 HOPE DR, TUSTIN, CA 92782(714) 247-0300(714) 259-1598 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theadora Violet Ordog Md NPPES

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

THEADORA VIOLET ORDOG MD (NPI 1508515164) is an individual pediatrics provider in Tustin, California, licensed in California (A189743) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2022).

NPPES Registry Identity

NPI1508515164
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTHEADORA VIOLET ORDOGCredential: MD
Location Address1 HOPE DRTustin, CA 92782-0221
Mailing Address14642 Newport Ave Ste 260Tustin, CA 92780-6099 · (714) 247-0300 · Fax (714) 259-1598
Phone(714) 247-0300
Fax(714) 259-1598
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1508515164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A189743
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 HOPE DR, Tustin, CA 92782
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Secondary Practice Locations 3

Location 1947 S Anaheim Blvd Ste 260Anaheim, CA 92805-5591 · Phone (714) 247-0300 · Fax (714) 259-1598
Location 214642 Newport Ave Ste 200Tustin, CA 92780-6058 · Phone (714) 247-0300 · Fax (714) 259-1598
Location 31100B N Tustin Ave Ste ASanta Ana, CA 92705-3505 · Phone (714) 247-0300 · Fax (714) 259-1598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theadora Violet Ordog Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294295945
PECOS Enrollment IDI20260902001568
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.

Medicare Billing Reassignment

Medicare enrollment records show Theadora Ordog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hurtt Family Health Clinic, Inc.
Same address
Community Health
1 HOPE DR
Tustin, CA 92782
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1235546995 (714) 247-4398

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92782 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

ELIZABETH TRUJILLO RN
Registered Nurse
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
KIMBERLY TORRES ACSW
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
SILVIA CHOVIT ACSW
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
VANESSA YVONNE SANTIAGO VO FNP
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
RAFAEL CEJA OCHOA RDH
Dental Hygienist
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
JONATHAN RAMONTY CHHEAN NP
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
SUNEUN SARAH REICHERT DO
Family Medicine
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300
CATHRIN HEE LIM MD
Family Medicine
1 HOPE DR
TUSTIN, CA 92782
Orange County (714) 247-0300

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 Theadora Ordog's NPI number?

The NPI number for Theadora Ordog is 1508515164. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Theadora Ordog located?

Theadora Ordog practices at 1 Hope Dr, Tustin, CA 92782. The listed phone number is (714) 247-0300.

What is Theadora Ordog's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theadora Ordog enrolled in Medicare?

Yes. Theadora Ordog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theadora Ordog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theadora Ordog reassigns Medicare benefits to Hurtt Family Health Clinic, Inc. (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theadora Ordog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theadora Ordog was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.