Individual provider Active NPI

Emilia Ortega-Jara, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1669625323
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61936 Issued in CA
Practice address
3742 Tibbetts St Ste 201
Riverside, CA 92506-2641
Phone
(951) 452-0067
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 61936 CA Primary

Addresses

Primary practice location

3742 Tibbetts St Ste 201
Riverside, CA 92506-2641

Mailing address

3742 Tibbetts St Ste 201
Riverside, CA 92506-2641
Phone (951) 452-0067

Other practice location 1

5790 Magnolia Ave
Suite 201
Riverside, CA 92506-1874
Phone (951) 452-0067

Other names 1

  • Emily Ortega Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1669625323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "951-452-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "951-452-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5790 Magnolia Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061874",
            "country_code": "US",
            "telephone_number": "951-452-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA-JARA",
        "first_name": "EMILIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "61936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ORTEGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.