Healthcare Provider Details

I. General information

NPI: 1497672059
Provider Name (Legal Business Name): CELINA CARRISA ORTEGA-GONZALEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 CALIFORNIA PLZ
OMAHA NE
68178-0133
US

IV. Provider business mailing address

2367 MADELINE DR
HANFORD CA
93230-8220
US

V. Phone/Fax

Practice location:
  • Phone: 800-561-3728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: