OrganizationActive
Edgar Ontiveros
NPI 1376821108 · Case Management Agency · Clearlake, CA
Edgar Ontiveros is a Case Management Agency organization in Clearlake, CA (NPI 1376821108).
Provider details
- NPI number
- 1376821108
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Edgar Ontiveros, Case Manager Hispanic Outreach(707) 263-4338
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15204 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (170) 726-3433
Fax: (170) 726-3433
Street-level locationGet directions
Mailing address
15204 Lakeshore Dr
Clearlake, CA 95422-8107
Other names (DBA / former)
- Former legal business name
- Mental Health
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2011-07-27
Frequently asked questions
- What is Edgar Ontiveros's NPI number?
- Edgar Ontiveros's National Provider Identifier (NPI) is 1376821108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgar Ontiveros?
- Edgar Ontiveros is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Edgar Ontiveros located?
- Edgar Ontiveros's practice location on file with NPPES is 15204 Lakeshore Dr, Clearlake, CA 95422-8107.
- What is Edgar Ontiveros's phone number?
- The practice phone number listed in the NPPES registry for Edgar Ontiveros is (170) 726-3433.
- Who is the authorized official for Edgar Ontiveros?
- The authorized official listed on Edgar Ontiveros's NPPES record is Edgar Ontiveros, Case Manager Hispanic Outreach. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgar Ontiveros's NPI active?
- Yes — Edgar Ontiveros's NPI (1376821108) is active in the NPPES registry as of the last update on 2011-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.