Active NPI
Lisa Michell Ortiz, D.C.
- Chiropractor
- Oakland, CA
National Provider Identifier
1740661339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC33254
- Practice address
- 2831 Telegraph Ave
Oakland, CA 94609-3649 - Phone
- (510) 654-2399
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC33254 | CA | Primary |
Addresses
Primary practice location
2831 Telegraph Ave
Oakland, CA 94609-3649
Mailing address
2831 Telegraph Ave
Oakland, CA 94609-3649
Phone (510) 654-2399
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC33254 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1740661339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093649",
"telephone_number": "510-654-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093649",
"telephone_number": "510-654-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LISA",
"middle_name": "MICHELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC33254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.