Individual provider Active NPI

Daisy Ivette Serrano Ortiz, FNP

  • Family Nurse Practitioner
  • Porterville, CA
National Provider Identifier
1013759612
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030333 Issued in CA
Practice address
664 N Division St
Porterville, CA 93257-2400
Phone
(559) 676-1243
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030333 CA Primary

Addresses

Primary practice location

664 N Division St
Porterville, CA 93257-2400

Mailing address

664 N Division St
Porterville, CA 93257-2400
Phone (559) 676-1243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95030333CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: daisy.serrano.ortiz.1@29786.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1013759612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 N DIVISION ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932572400",
            "telephone_number": "559-676-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 N DIVISION ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932572400",
            "telephone_number": "559-676-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO ORTIZ",
        "first_name": "DAISY",
        "middle_name": "IVETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.