Provider Demographics
NPI:1235196718
Name:ORNELAS, FRANCISCO R JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:R
Last Name:ORNELAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660305
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-0305
Mailing Address - Country:US
Mailing Address - Phone:626-447-0206
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:5451 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2609
Practice Address - Country:US
Practice Address - Phone:909-464-8666
Practice Address - Fax:909-464-8913
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60144174400000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA60144OtherMEDICAL LICENSE
CA00A601440Medicaid
CAG85027Medicare UPIN
CA00A601443Medicare PIN
CAA60144OtherMEDICAL LICENSE