Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Kaleoaloha Ortiz, MD

Individual provider Family Medicine Physician · NPI 1356761571

Dr. Kenneth Kaleoaloha Ortiz, MD is a Family Practice in Alpine, California. Qualified in 2014, 12 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4058 Willows Rd
Alpine, CA 91901-1668
Phone: (800) 400-1189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 — (808) 586-2890

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A156607 (CA)

Record details

NPI number1356761571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2014
Last updated in NPPESAugust 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Alpine