Individual provider Active NPI

Damariz Itzel Luis Ortega, PTA

  • Physical Therapy Assistant
  • Los Angeles, CA
National Provider Identifier
1699502799
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
53529 Issued in CA
Practice address
822 W 110TH St
Los Angeles, CA 90044-4324
Phone
(323) 301-2121
NPI assigned
Sep 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 53529 CA Primary

Addresses

Primary practice location

822 W 110TH St
Los Angeles, CA 90044-4324

Mailing address

822 W 110TH St
Los Angeles, CA 90044-4324
Phone (323) 301-2121

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": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1699502799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 110TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444324",
            "telephone_number": "323-301-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 110TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444324",
            "telephone_number": "323-301-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS ORTEGA",
        "first_name": "DAMARIZ",
        "middle_name": "ITZEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.