Active NPI
Beverly Ortiz
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1760826572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT121355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF87435 | CA | MD | Marriage & Family Therapist |
| LMFT121355 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | 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.
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- Oceanside, CA
- NPI 1720233893
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1598199788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.