Edwardo Francisco Cortez, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113061 Issued in CA

Practice address

610 14TH St
Modesto, CA 95354-2505

Phone

(209) 524-4858

NPI assigned

Dec 3, 2019

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Shalom Clinical & Forensic Family Therapy Group, Inc. a Social Purpose Corporation

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1073202206
  NPD
• Debra a. Johnson, PH.D., a Psychology Corporation

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1760510820
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1669019238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RAMSEY DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561785",
            "telephone_number": "209-400-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 14TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542505",
            "telephone_number": "209-524-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "EDWARDO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Cortes Alvarado
• Alexsandra Cortes
• Angelica Cortes
• Gabriella Cortes
• Alexis Christian Bautista Cortez, DPT
• Elpidio Cortez
• Eugenia Cortez, COA
• Iris Jazelle Cortez
• Lisa Cortez, LCSW
• Brianna Corzo

• Marriage & Family Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.