Healthcare Provider Details

I. General information

NPI: 1811504533
Provider Name (Legal Business Name): JOANNA ORTEGA MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2020
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

8048 GREENRIDGE DR APT 23
OAKLAND CA
94605-3759
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1238
  • Fax:
Mailing address:
  • Phone: 510-621-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA191189
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: