Johann Dongon Ortizo, PSB

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94028346 Issued in CA

Practice address

6363 Wilshire Blvd Ste 520
Los Angeles, CA 90048-5727

Phone

(310) 987-7455

NPI assigned

Aug 8, 2018

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• LD Neuropsychological Services

  • Clinical Psychologist
  • Los Alamitos, CA
  • NPI 1417342965
  NPD (past)
• New Alternatives Inc.

  • Case Management Agency
  • Fountain Valley, CA
  • NPI 1174989735
  NPD (past)
• Western Youth Services

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1215484019
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1558840785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD STE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485727",
            "telephone_number": "714-312-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD STE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485727",
            "telephone_number": "310-987-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10861 Cherry St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907205407",
            "country_code": "US",
            "telephone_number": "714-229-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZO",
        "first_name": "JOHANN",
        "middle_name": "DONGON",
        "credential": "PSB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94028346",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiphanie A Ortiz, LCSW, PPSC, CWA
• Vanessa Ortiz
• Victoria Guadalupe Ortiz
• Wendy Ortiz, MFT
• Yessica Anahi Ortiz, M.S.
• Michael Ortlieb, DPT
• Jane Ann Orto
• Teni Orujyan, COTA
• Osa Solutions
• Obioma Ogechi Osae-Brown

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.