Individual provider Active NPI

Teresa Sifuentes Ortiz, FNP

  • Chore Provider
  • Los Angeles, CA
National Provider Identifier
1073665998
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
NP7205 Issued in CA
Practice address
5015 Whittier Blvd
Los Angeles, CA 90022-3116
Phone
(323) 981-2930
Fax
(323) 981-2935
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NP7205 CA Primary

Addresses

Primary practice location

5015 Whittier Blvd
Los Angeles, CA 90022-3116

Mailing address

5015 Whittier Blvd
Los Angeles, CA 90022-3116
Phone (323) 981-2930

Other identifiers 1

IdentifierTypeStateIssuer
NP0072050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000194 CA Practitioner - Nurse Practitioner 1658330105 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP7205CAMDChore Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Via Care Community Health Center CurrentSince Mar 31, 2020 Accepting new patients
Eastside Family Medical Associates, Inc. CurrentSince May 6, 2021 Accepting new patients
Via Care Community Health Center Current Accepting new patients
Via Care Community Health Center CurrentSince Mar 31, 2020 Accepting new patients
Santa Rosa Family Care Center, a Nursing Corporation PastSince Oct 20, 2011 Accepting new patients
Santa Rosa Family Medical Clinic PastSince Mar 1, 2003 Accepting new patients

Locations

501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442

5015 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 981-2930

507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067

321 S Mednik Ave
Los Angeles, CA 90022
Phone (323) 261-4706

Organizations & group practices 6

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073665998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2930",
            "fax_number": "323-981-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2930",
            "fax_number": "323-981-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TERESA",
        "middle_name": "SIFUENTES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "CA",
            "license": "NP7205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0072050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.