Active NPI
Jessica Lizeth Ortiz - Melendez
- Health Educator
- Berkeley, CA
National Provider Identifier
1073285458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1980 Allston Way # H-105
Berkeley, CA 94704-1463 - Phone
- (510) 644-6965
- Fax
- (510) 644-2887
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1980 Allston Way # H-105
Berkeley, CA 94704-1463
Mailing address
1980 Allston Way # H-105
Berkeley, CA 94704-1463
Phone (510) 644-6965
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jortiz@cityofberkeley.info | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Berkeley | Current | Accepting new patients | |
| City of Berkeley | Past | Accepting new patients |
Locations
1980 Allston Way
#H105
Berkeley, CA 94704
Phone (510) 644-6838
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Berkeley, CA
- NPI 1902944796
-
- Ambulatory Family Planning Facility
- Berkeley, CA
- NPI 1487972790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1073285458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 ALLSTON WAY # H-105",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041463",
"telephone_number": "510-644-6965",
"fax_number": "510-644-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 ALLSTON WAY # H-105",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041463",
"telephone_number": "510-644-6965",
"fax_number": "510-644-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ - MELENDEZ",
"first_name": "JESSICA",
"middle_name": "LIZETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jortiz@cityofberkeley.info",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1980 Allston Way # H-105",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947041463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.