Jessica Yvonne Ortiz, CADC I CA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

104 W 4TH St
San Bernardino, CA 92415-3659

Phone

(909) 382-7881

NPI assigned

Oct 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• County of San Bernardino

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1740532647
  NPD

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1700186459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150035",
            "telephone_number": "909-382-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924153659",
            "telephone_number": "909-382-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Goodrich Blvd",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900225102",
            "country_code": "US",
            "telephone_number": "323-888-9191",
            "fax_number": "323-888-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863659",
            "country_code": "US",
            "telephone_number": "909-949-4667 x232",
            "fax_number": "909-931-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JESSICA",
        "middle_name": "YVONNE",
        "credential": "CADC I CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI22420418",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste A Ortiz
• Denise Michelle Ortiz
• Erika Ortiz
• Gabriela Ortiz, MA
• Hector Ortiz
• Monique Ortiz
• Kerry Ann Ortloff
• Clement Osakue
• Oryan Rogelio Osborne-Lewis
• T'Yana Nechell Osborne

• Addiction (Substance Use Disorder) Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.