Active NPI
Alexis Janene Ortega
- Peer Specialist
- Colton, CA
National Provider Identifier
1083185318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-PPSD9C
- Practice address
- 1461 E Cooley Dr Ste 100
Colton, CA 92324-3921 - Phone
- (877) 527-7227
- NPI assigned
- Dec 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A066530625 | CA | |
| Peer Specialist | 175T00000X | MPSS-PPSD9C | CA | Primary |
Addresses
Primary practice location
1461 E Cooley Dr Ste 100
Colton, CA 92324-3921
Mailing address
2794 Spruce St
Rialto, CA 92376-5346
Phone (951) 347-7161
Other practice location 1
840 N Avenue 66
Los Angeles, CA 90042-1508
Phone (626) 395-7100
Other names 1
- Alexis Janene Banks
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
| License | State | Type | Specialty |
|---|---|---|---|
| A066530625 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MPSS-PPSD9C | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1083185318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2794 SPRUCE ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765346",
"telephone_number": "951-347-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 E COOLEY DR STE 100",
"city": "COLTON",
"state": "CA",
"postal_code": "923243921",
"telephone_number": "877-527-7227"
}
],
"practiceLocations": [
{
"address_1": "840 N Avenue 66",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900421508",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "ALEXIS",
"middle_name": "JANENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A066530625",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-PPSD9C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "BANKS",
"middle_name": "JANENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.