Jorge Alberto Cortez Medina

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1615 E 17TH St Ste 100
Santa Ana, CA 92705-8529

Phone

(714) 328-3728

Fax

(714) 541-7924

NPI assigned

Jun 4, 2018

Last updated

Jun 4, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Phoenix House Orange County, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1225332802
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1649762881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10947",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850947",
            "telephone_number": "714-317-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E 17TH ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058529",
            "telephone_number": "714-328-3728",
            "fax_number": "714-541-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ MEDINA",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Ann Weisenburger Corrillo, LMFT
• Anais Cortes, NONE
• Julio Cortes
• Kenya L Cortes
• Orizbeth Cortes, MSW
• Catherine Cortez
• Joshua Cortez
• Luz M Cortez
• Renee Cortez, DNP, MSN, BSN, ACNP
• Rocio Cortez

• Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.