Shannon K Ortiz

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1661 N Raymond Ave. Ste. 200
Anaheim, CA 92801

Phone

(714) 966-8650

NPI assigned

Jun 16, 2015

Sex

Female

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 and National Provider Directory roles.

• South Coast Children'S Society, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1215017603
  NPD (past)
• South Coast Children'S Society, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1497882161
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1659752533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N RAYMOND AVE STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N RAYMOND AVE. STE. 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-966-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 S Harbor Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047915",
            "country_code": "US",
            "telephone_number": "714-966-8650 x256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SHANNON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ortiz
• Nancy Ortiz, LCSW
• Nohelia Maria Ortiz
• Olivia Ortiz
• Paul Arguijo Ortiz, LPT
• Susana Ortiz
• Thomas Ortiz
• Ivie A Osazuwa
• Errand Osby
• Oscar a Matthews M.D.

• Counselor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.