DR. KILE MALCOLM ORTIGO


Address: 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608
Phone: 6506367979

DR. KILE MALCOLM ORTIGO (NPI# 1992294920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992294920
Entity Type Individual
Full Name DR. KILE MALCOLM ORTIGO
Credential PHD
Practice Address 415 Cambridge Ave Ste 8
Palo Alto
CA 94306-1608
Practice Telephone 6506367979
Mailing Telephone 6506367979
Enumeration Date 2018-05-04
Last Update Date 2018-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY26136 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PSYCHOLOGY LICENSE PSY26136 01

Office Location

Street Address 415 CAMBRIDGE AVE STE 8
City PALO ALTO
State CA
Zip Code 94306-1608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073126538 Vasily Salov Massage Therapist 2313 Park Blvd, Palo Alto, CA 94306 2020-08-25
1568982569 Shian Hong Registered Nurse 270 Grant Avenue, Palo Alto, CA 94306 2017-06-21
1386092229 Woo Jung Park Acupuncturist 4290 Wilkie Way #c, Palo Alto, CA 94306 2016-06-01
1225442205 Keiko Gill Chiropractor 480 California Ave Ste 103, Palo Alto, CA 94306 2014-06-17
1093147092 Thuy Nguyen Optometrist 109 California Ave Ste D101a, Palo Alto, CA 94306 2013-08-01
1750685293 Erica Mikhli Physician Assistant 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 2010-12-24
1225262553 Rina Biren Shah Family Medicine 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 2009-05-14
1669640173 Leah Zialcita Physical Therapist 2345 Yale Street, Palo Alto, CA 94306 2008-02-19
1578761631 Mary June Asenathe Wagner Dentist 1795 El Camino Real #100, Palo Alto, CA 94306 2007-07-10
1972628923 Lillian Landsman Burt Social Worker 2 Roosevelt Circle, Palo Alto, CA 94306 2007-03-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255941753 Mindy Penzias Dirks Psychologist 635 Bryant St # 7, Palo Alto, CA 94301-2502 2020-08-09
1306492236 Johnna Leigh Medina Psychologist 401 Quarry Rd # Mc5718, Palo Alto, CA 94304-1419 2019-08-15
1962973321 Hannah Leslie Weisman Psychologist 248 Homer Ave, Palo Alto, CA 94301-2722 2018-12-11
1235606401 Karen E Otte Psychologist 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 2018-10-25
1124594114 John Paul Rettger Psychologist 407 California Ave Ste 10, Palo Alto, CA 94306-1861 2018-10-17
1801361068 Teresa Yeong-yi Pan Psychologist 3801 Miranda Avenue (116b), Palo Alto, CA 93404 2018-10-03
1003335936 Yelena Blank Psychologist 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 2017-09-12
1043735970 Megan Elizabeth Kelly Psychologist 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 2017-08-11
1790145092 Eval Gal-oz Psychologist 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 2016-02-29
1417314774 Joan L Mendelson, Ph.d. Psychologist 560 Oxford Ave Ste 6b, Palo Alto, CA 94306-1139 2016-01-18
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Competitor

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City PALO ALTO
Zip Code 94306

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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