Individual provider Active NPI

Eric Orlando Ortega, AMFT

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1053167221
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT146252 Issued in CA
Practice address
2515 Camino del Rio S Ste 240
San Diego, CA 92108-3715
Phone
(931) 896-5410
NPI assigned
Apr 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT146252 CA Primary

Addresses

Primary practice location

2515 Camino del Rio S Ste 240
San Diego, CA 92108-3715

Mailing address

4287 Layla CT
San Diego, CA 92154-3834
Phone (931) 896-5410

Other practice location 1

1122 Broadway Ste 200
San Diego, CA 92101-5629
Phone (931) 896-5410

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
AMFT146252CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1053167221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 LAYLA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543834",
            "telephone_number": "931-896-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083715",
            "telephone_number": "931-896-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921015629",
            "country_code": "US",
            "telephone_number": "931-896-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ERIC",
        "middle_name": "ORLANDO",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT146252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.