Active NPI
Roxana Alexis Ortiz, MA
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1326571456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 88902
- Practice address
- 5815 3Rd St
San Francisco, CA 94124-3101 - Phone
- (415) 822-7500
- Fax
- (415) 822-9767
- NPI assigned
- Apr 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 88902 | CA | Primary |
Addresses
Primary practice location
5815 3Rd St
San Francisco, CA 94124-3101
Mailing address
1489 Webster St Apt 1007
San Francisco, CA 94115-3786
Phone (956) 285-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 7, 2024 through Jun 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88902 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1326571456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 WEBSTER ST APT 1007",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153786",
"telephone_number": "956-285-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 3RD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941243101",
"telephone_number": "415-822-7500",
"fax_number": "415-822-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ROXANA",
"middle_name": "ALEXIS",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "88902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.