Individual provider Active NPI

Kimberly A Knight Ortiz

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1750946364
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77871 Issued in CA
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

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000630 CA Practitioner - Clinical Social Worker 9032555024 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77871CAMDClinical Social Worker
96609CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Empower TCT Inc Clinical CurrentSince Aug 1, 2024 Accepting new patients
Cyti Health PC CurrentSince Jan 28, 2024 Accepting new patients
Community Research Foundation Inc Clinical Past Accepting new patients
Empower TCT LLC PastSince Nov 28, 2021 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.

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

Verify at the official NPI Registry.