Active NPI
Yolanda Cortes
- Rehabilitation Practitioner
- Redondo Beach, CA
National Provider Identifier
1477098747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 923 S Catalina Ave
Redondo Beach, CA 90277 - Phone
- (424) 777-5017
- Fax
- (310) 792-5463
- NPI assigned
- Dec 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
923 S Catalina Ave
Redondo Beach, CA 90277
Mailing address
2409 Oceanview Ter
San Pedro, CA 90731-6398
Phone (424) 777-5017
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": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1477098747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 OCEANVIEW TER",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907316398",
"telephone_number": "424-777-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 S CATALINA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "424-777-5017",
"fax_number": "310-792-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-22",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.