Individual provider Active NPI

Jessica Emily Ortega

  • Behavior Analyst
  • Norco, CA
National Provider Identifier
1740913748
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
Y8319727 Issued in CA
Practice address
1771 3Rd St Ste 101
Norco, CA 92860-2670
Phone
(951) 686-2020
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Y8319727 CA Primary

Addresses

Primary practice location

1771 3Rd St Ste 101
Norco, CA 92860-2670

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Phone (469) 694-1754

Other practice location 1

1771 3rd St Ste 101
Norco, CA 92860-2670
Phone (951) 686-2020

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

State licenses

LicenseStateTypeSpecialty
Y8319727CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism and Related Disorders LLC Behavior Analyst CurrentSince Sep 11, 2022 Accepting new patients
Center for Autism & Related Disorders, LLC Behavior Analyst CurrentSince Jul 10, 2022 Accepting new patients

Locations

5850 Granite Pkwy
Ste 600
Plano, TX 75024
Phone (442) 325-3819

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1740913748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753",
            "telephone_number": "469-694-1754",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 3RD ST STE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602670",
            "telephone_number": "951-686-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 3rd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Norco",
            "state": "CA",
            "postal_code": "928602670",
            "country_code": "US",
            "telephone_number": "951-686-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JESSICA",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y8319727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.