Active NPI
Angelica Marie Ortiz, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1104483767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34243
- Practice address
- 2667 Camino del Rio South
Suite 313
San Diego, CA 92108 - Phone
- (530) 643-7723
- NPI assigned
- May 20, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 34243 | CA | |
| Nutrition Chiropractor | 111NN1001X | 34243 | CA | |
| Pediatric Chiropractor | 111NP0017X | 34243 | CA | |
| Chiropractor | 111N00000X | 34243 | CA | Primary |
Addresses
Primary practice location
2667 Camino del Rio South
Suite 313
San Diego, CA 92108
Mailing address
2667 Camino del Rio South
Suite 313
San Diego, CA 92108
Phone (530) 643-7723
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1104483767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 313",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "530-643-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 313",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "530-643-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ANGELICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "34243",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "34243",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "34243",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.