Deshondra L Fortson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425

Phone

(619) 481-5200

NPI assigned

Feb 15, 2017

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1619416278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Broadway Ste 800",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921013546",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTSON",
        "first_name": "DESHONDRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Virginia Fortin, LCSW
• Lawrence Fortin
• Paige Fortin
• Stephanie L Fortin, MD
• Melissa Joyann Fortner, PAC
• Camille Theodora Fortuin
• Richard Fortuna, MD
• Robert Brian Fortuna, M.D.
• Giane Fortunato
• Erin Lin Fortune, M.D.

• Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.