Individual provider Active NPI

Patricia G Ortiz, LCSW 70130

  • Clinical Social Worker
  • Soledad, CA
National Provider Identifier
1649575879
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW70130 Issued in CA
Practice address
31625 Highway 101 S
Soledad, CA 93960-9529
Phone
(831) 678-5500
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW70130 CA Primary

Addresses

Primary practice location

31625 Highway 101 S
Soledad, CA 93960-9529

Mailing address

31625 Highway 101 S
Soledad, CA 93960-9529
Phone (831) 678-5500

Other identifiers 1

IdentifierTypeStateIssuer
70130OtherCALCSW

Electronic endpoints 5

TypeEndpointUseAffiliation
CONNECT URL Patricia.Ortiz@cdcr.ca.gov Health Information Exchange (HIE)
CONNECT URL other Health Information Exchange (HIE)
CONNECT URL Patricia.Ortiz@cdcr.ca.gov Health Information Exchange (HIE)
CONNECT URL Patricia.Ortiz@cdcr.ca.gov Health Information Exchange (HIE)
CONNECT URL Patricia.Ortiz@cdcr.ca.gov Health Information Exchange (HIE)

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
LCSW70130CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1649575879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 HIGHWAY 101 S",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939609529",
            "telephone_number": "831-678-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 HIGHWAY 101 S",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939609529",
            "telephone_number": "831-678-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "credential": "LCSW 70130",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "70130",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Patricia.Ortiz@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "business e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patricia.Ortiz@cdcr.ca.gov",
            "address_1": "31625 Highway 101 S",
            "city": "Soledad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939609529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "31625 Highway 101 S",
            "city": "Soledad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939609529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Patricia.Ortiz@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Employer e-mail address assigned",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patricia.Ortiz@cdcr.ca.gov",
            "address_1": "31625 Highway 101 S",
            "city": "Soledad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939609529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Patricia.Ortiz@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Employer e-mail address assigned",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patricia.Ortiz@cdcr.ca.gov",
            "address_1": "31625 Highway 101 S",
            "city": "Soledad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939609529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Patricia.Ortiz@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "business e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patricia.Ortiz@cdcr.ca.gov",
            "address_1": "31625 Highway 101 S",
            "city": "Soledad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939609529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soledad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.