Individual provider Active NPI

Jeanette Guadalupe Ortiz, M.S.

  • Marriage & Family Therapist
  • Hemet, CA
National Provider Identifier
1760713341
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT84736 Issued in CA
Practice address
1791 W Acacia Ave
Hemet, CA 92545
Phone
(951) 765-5100
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 68610 CA
Marriage & Family Therapist 106H00000X LMFT84736 CA Primary

Addresses

Primary practice location

1791 W Acacia Ave
Hemet, CA 92545

Mailing address

1791 W Acacia Ave
Hemet, CA 92545-3797
Phone (951) 765-5100

Other practice location 1

1515 S Bon View Ave
Ontario, CA 91761-4408
Phone (909) 930-6793

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
68610CAMDMarriage & Family Therapist
LMFT84736CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario-Montclair School District Past Accepting new patients

Organizations & group practices 1

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1760713341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 W ACACIA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453797",
            "telephone_number": "951-765-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 W ACACIA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92545",
            "telephone_number": "951-765-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Bon View Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917614408",
            "country_code": "US",
            "telephone_number": "909-930-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JEANETTE",
        "middle_name": "GUADALUPE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "68610",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT84736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.