Justin Cortez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

76 Southgate CT
San Jose, CA 95138-1816

Phone

(510) 910-4449

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sage Health Services, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1083087266
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750015152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W RIVERSIDE AVE UNIT 1137",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100330",
            "telephone_number": "510-910-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SOUTHGATE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381816",
            "telephone_number": "510-910-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@theautismimpactcircle.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "904 W Riverside Ave Unit 1137",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992100330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Rose Cortez
• Emilio Cortez Jr.
• Gabriel Osvaldo Cortez
• Gianna Cortez
• Jasmin Emily Cortez
• Karyll Andrea Bularan Cortez
• Leah Cortez
• Mireya Cortez
• Natalie Alyssa Cortez
• Perlita Paredes Cortez

• Behavior Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.