Active NPI
Joseph Ortiz
- Pharmacist
- Carson, CA
National Provider Identifier
1457909228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH88974
- Practice address
- 22814 Shell Dr
Carson, CA 90745-4744 - Phone
- (310) 849-0767
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH88974 | CA | Primary |
| Pharmacy Technician | 183700000X | TCH169758 | CA |
Addresses
Primary practice location
22814 Shell Dr
Carson, CA 90745-4744
Mailing address
22814 Shell Dr
Carson, CA 90745-4744
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH88974 | CA | MD | Pharmacist |
| TCH169758 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700870400000",
"number": "1457909228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22814 SHELL DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907454744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22814 SHELL DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907454744",
"telephone_number": "310-849-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2023-11-25",
"certification_date": "2023-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH88974",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH169758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.