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Edgar Ontiveros
NPI 1891517124 · Peer Specialist · Clearlake, CA
Edgar Ontiveros is a Peer Specialist provider in Clearlake, CA (NPI 1891517124).
Provider details
- NPI number
- 1891517124
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MPSS-WEYLRB (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
14096 Lakeshore Dr
Clearlake, CA 95422-8160
Phone: (707) 994-4261
Street-level locationGet directions
Mailing address
Po Box 1024
Lucerne, CA 95458-1024
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Edgar Ontiveros's NPI number?
- Edgar Ontiveros's National Provider Identifier (NPI) is 1891517124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgar Ontiveros's specialty?
- Edgar Ontiveros is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Edgar Ontiveros located?
- Edgar Ontiveros's practice location on file with NPPES is 14096 Lakeshore Dr, Clearlake, CA 95422-8160.
- What is Edgar Ontiveros's phone number?
- The practice phone number listed in the NPPES registry for Edgar Ontiveros is (707) 994-4261.
- Is Edgar Ontiveros's NPI active?
- Yes — Edgar Ontiveros's NPI (1891517124) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.