Individual provider Active NPI

Laura Elena Ortez, CAADAC

  • Addiction (Substance Use Disorder) Counselor
  • San Martin, CA
National Provider Identifier
1639201320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12002605 Issued in CA
Practice address
80 Highland Ave
San Martin, CA 95046-9504
Phone
(408) 683-4053
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12002605 CA Primary

Addresses

Primary practice location

80 Highland Ave
San Martin, CA 95046-9504

Mailing address

80 Highland Avenue
San Martin, CA 95046-0717
Phone (408) 683-4053

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

LicenseStateTypeSpecialty
12002605CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639201320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGHLAND AVENUE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950460717",
            "telephone_number": "408-683-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHLAND AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469504",
            "telephone_number": "408-683-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEZ",
        "first_name": "LAURA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "CAADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12002605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Martin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.