Active NPI
Bertha Alicia Ortiz-Gallardo, MA
- Marriage & Family Therapist
- Castro Valley, CA
National Provider Identifier
1447535489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT83948
- Practice address
- 1700 Norbridge Ave
Castro Valley, CA 94546-5700 - Phone
- (510) 461-3276
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | LMFT83948 | CA | Primary |
Addresses
Primary practice location
1700 Norbridge Ave
Castro Valley, CA 94546-5700
Mailing address
1950 Alameda de Las Pulgas
Suite 240
San Mateo, CA 94403
Phone (510) 461-3276
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT83948 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447535489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 ALAMEDA DE LAS PULGAS",
"address_2": "SUITE 240",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "510-461-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORBRIDGE AVE",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465700",
"telephone_number": "510-461-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-GALLARDO",
"first_name": "BERTHA",
"middle_name": "ALICIA",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT83948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.