Active NPI
William Ortiz
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
National Provider Identifier
1528679669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1389610520
- Practice address
- 10001 County Farm Rd
Riverside, CA 92503-3507 - Phone
- (909) 421-7120
- NPI assigned
- Aug 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1389610520 | CA | Primary |
Addresses
Primary practice location
10001 County Farm Rd
Riverside, CA 92503-3507
Mailing address
18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone (909) 421-7120
Other practice location 1
239 W 9th St
Upland, CA 91786-5979
Phone (909) 981-6121
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 |
|---|---|---|---|
| R1389610520 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His House New Creation Treatment Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| G & C Swan Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Upland, CA
- NPI 1659662351
-
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
- NPI 1376371187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1528679669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18612 SANTA ANA AVE",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "923162639",
"telephone_number": "909-421-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 COUNTY FARM RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033507",
"telephone_number": "909-421-7120"
}
],
"practiceLocations": [
{
"address_1": "239 W 9th St",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917865979",
"country_code": "US",
"telephone_number": "909-981-6121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1389610520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.