Individual provider Active NPI

Grace Ortiz

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1104632579
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F04250092 Issued in CA
Practice address
8202 Gardenside CT
Sacramento, CA 95829-9282
Phone
(916) 544-1386
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04250092 CA Primary

Addresses

Primary practice location

8202 Gardenside CT
Sacramento, CA 95829-9282

Mailing address

8202 Gardenside CT
Sacramento, CA 95829-9282
Phone (916) 544-1386

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
I20251015000328 CA Practitioner - Nurse Practitioner 7214424068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5909 Stanley Ave
Suite a
Carmichael, CA 95608-3873

8202 Gardenside CT
Sacramento, CA 95829-9282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04250092CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Medical Group LLC CurrentSince Sep 18, 2025 Accepting new patients
North Valley Specialty Group Inc. PastSince Nov 9, 2025 Accepting new patients

Locations

10860 Gold Center Dr
Ste 255
Rancho Cordova, CA 95670
Phone (530) 649-7945

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1104632579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 GARDENSIDE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299282",
            "telephone_number": "916-544-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 GARDENSIDE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299282",
            "telephone_number": "916-544-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F04250092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.