Active NPI
Kimberly A Knight Ortiz
- Clinical Social Worker
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77871
- Practice address
- 490 N Grape St
Escondido, CA 92025-3079 - Phone
- (760) 975-9939
- NPI assigned
- May 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 77871 | CA | Primary |
| Mental Health Counselor | 101YM0800X | CA | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
490 N Grape St
Escondido, CA 92025-3079
Mailing address
490 N Grape St
Escondido, CA 92025-3079
Phone (760) 975-9939
Other practice location 1
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kknightortiz@comreserach.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77871 | CA | MD | Clinical Social Worker |
| 96609 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower TCT Inc | Clinical | Current | Accepting new patients |
| Cyti Health PC | Current | Accepting new patients | |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
| Empower TCT LLC | Past | Accepting new patients |
Locations
11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317
3111 Camino del Rio N
Ste 460
San Diego, CA 92108
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
11545 Los Osos Valley Rd
Ste C4
San Luis Obispo, CA 93405
Phone (805) 266-3231
Organizations & group practices 4
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.
-
dba Cyti Psychological
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
-
- Clinical Social Worker
- Santa Maria, CA
- NPI 1396429874
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pismo Beach, CA
- NPI 1720745011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1750946364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N GRAPE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253079",
"telephone_number": "760-975-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N GRAPE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253079",
"telephone_number": "760-975-9939"
}
],
"practiceLocations": [
{
"address_1": "8910 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231104",
"country_code": "US",
"telephone_number": "858-514-5144",
"fax_number": "858-514-5195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT ORTIZ",
"first_name": "KIMBERLY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77871",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kknightortiz@comreserach.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "490 N Grape St",
"city": "Escondido",
"state": "CA",
"country_code": "US",
"postal_code": "920253079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.