Adriana Cortez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

66694 Issued in CA

Practice address

14649 Victory Blvd Ste 20
Van Nuys, CA 91411-4101

Phone

(818) 786-8396

Fax

(818) 901-7128

NPI assigned

Jun 5, 2018

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Stanford University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montecristo Medical PCGroup PAC ID 4082963772, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Montecristo Medical PC

  • Primary Care Clinic/Center
  • Van Nuys, CA
  • NPI 1699268631
  Medicare reassignment Care Compare group NPD
• Advanced Nursing Healthcare Services Inc

  • Family Nurse Practitioner
  • Van Nuys, CA
  • NPI 1598572349
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1366934499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD STE 20",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114101",
            "telephone_number": "818-786-8396",
            "fax_number": "818-901-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD STE 20",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114101",
            "telephone_number": "818-786-8396",
            "fax_number": "818-901-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Correa
• Abel Cortes
• Angelica Maria Cortes
• Mark Cortes
• Cortex Lab Inc
• Carlos Antonio Mejia Cortez
• Destinee Cortez
• Jasmine Cortez
• Yolanda Estela Cortez, D.D.S.
• Galen Cortina, MD

• Physician Assistant in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.