Individual provider Active NPI

Jessica Lizeth Ortiz - Melendez

  • Health Educator
  • Berkeley, CA
National Provider Identifier
1073285458
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
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

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
City of Berkeley CurrentSince Feb 4, 2024 Accepting new patients
City of Berkeley PastSince Oct 10, 2021 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.

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.

Verify at the official NPI Registry.