Individual provider Active NPI

Maria D Ortiz, NURSE PRACTITIONER

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1093312233
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NPF95014308 Issued in CA
Practice address
4361 Latham St Ste 270
Riverside, CA 92501-4332
Phone
(303) 876-2930
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NPS95014308 CA
Family Medicine Physician 207Q00000X NPF95014308 CA Primary

Addresses

Primary practice location

4361 Latham St Ste 270
Riverside, CA 92501-4332

Mailing address

984 Orange CT
Lindsay, CA 93247-1605
Phone (559) 359-9985

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
I20210222003002 CA Practitioner - Nurse Practitioner 1254751183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

118 N Akers St
Visalia, CA 93291-5121

1840 E Ray Rd
Chandler, AZ 85225-8720

984 Orange CT
Lindsay, CA 93247-1605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95014308CAMDFamily Medicine Physician
NPS95014308CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nightingale Clinical Care, PC Single Specialty CurrentSince Feb 8, 2021 Accepting new patients
Kaweah Delta Health Care District PastSince Oct 1, 2020 Accepting new patients
Adolph J. Nava M.D., Inc Single Specialty PastSince Oct 1, 2020 Accepting new patients

Locations

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

11690 San Pablo Ave
El Cerrito, CA 94530

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

4361 Latham St
Ste 270
Riverside, CA 92501
Phone (303) 876-2930

3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506

9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171

555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370

30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEHAA

Organizations & group practices 4

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1093312233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 ORANGE CT",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471605",
            "telephone_number": "559-359-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 LATHAM ST STE 270",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014332",
            "telephone_number": "303-876-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIA",
        "middle_name": "D",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "NPS95014308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NPF95014308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.