Individual provider Active NPI

Beverly Ortiz

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1760826572
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT121355 Issued in CA
Practice address
41002 County Center Dr Ste 320
Temecula, CA 92591-6027
Phone
(951) 600-6350
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 IMF87435 CA
Marriage & Family Therapist 106H00000X LMFT121355 CA Primary

Addresses

Primary practice location

41002 County Center Dr Ste 320
Temecula, CA 92591-6027

Mailing address

631 S Twin Oaks Valley Rd Apt 119
San Marcos, CA 92078-5319
Phone (626) 233-3298

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
I20240104004358 CA Practitioner - Marriage and Family Therapist 0143671099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF87435CAMDMarriage & Family Therapist
LMFT121355CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince Jan 1, 2024 Accepting new patients
North County Health Project Inc CurrentSince Jan 1, 2024 Accepting new patients
Riverside County Mental Health Past Accepting new patients

Locations

2210 Mesa Dr
Ste 300
Oceanside, CA 92054
Phone (760) 757-5841

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1760826572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S TWIN OAKS VALLEY RD APT 119",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785319",
            "telephone_number": "626-233-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR STE 320",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916027",
            "telephone_number": "951-600-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87435",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT121355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.