Individual provider Active NPI

Tommy Jacob Cortez, MA

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1114603693
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT151061 Issued in CA
Practice address
3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone
(805) 289-0120
Fax
(805) 289-0130
NPI assigned
Jun 27, 2023
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT151061 CA Primary

Addresses

Primary practice location

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056

Mailing address

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone (805) 289-0120

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AMFT151061CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Foster & Family Services - Ventura CurrentSince Jul 1, 2023 Accepting new patients
Aspiranet CurrentSince Mar 20, 2025 Accepting new patients

Locations

3601 Calle Tecate
Ste 201
Camarillo, CA 93012
Phone (805) 289-0130

5284 Adolfo Rd
Ste 100
Camarillo, CA 93012
Phone (805) 289-0130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1114603693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "TOMMY",
        "middle_name": "JACOB",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT151061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.