MEDICARE: DR. XAVIER GUILLERMO ORTIZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G148485	CA

General Provider Information

NPI Number	:	1952304859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XAVIER GUILLERMO ORTIZ M.D.

Provider Business Mailing Address
First Line	:	534 E SPRING ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-1537
Country	:	US
Telephone Number	:	513-470-9394
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 SERENO DR
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:	707-914-6399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/12/2023

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