Active NPI
Albert Ortiz
- Behavior Technician
- San Bernardino, CA
National Provider Identifier
1184461733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 165 W Hospitality LN Ste 27
San Bernardino, CA 92408-3326 - Phone
- (442) 327-9172
- NPI assigned
- Jul 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
165 W Hospitality LN Ste 27
San Bernardino, CA 92408-3326
Mailing address
778 Ramona Ave
San Bernardino, CA 92411-2552
Phone (626) 243-8425
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": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1184461733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 RAMONA AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112552",
"telephone_number": "626-243-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 W HOSPITALITY LN STE 27",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083326",
"telephone_number": "442-327-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ALBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Orthopaedic Medical Group of Riverside, Inc.
- Orthopaedic Medical Group of Riverside, Inc.
- Xavier Antonio Ortiz Ramirez, DC, QME, CME
- Justen Ortiz-Dugan
- Ortiz-Rivera Spine Care Doctors Chiropractic Corporation
- Alyssa Ortiz
- Amber Christine Ortiz, BA
- Arthur James Ortiz
- Celeste A Ortiz
- Denise Michelle Ortiz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.