Active NPI
Christian Ivan Ortega, B.A.
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1790321487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 232 E Gish Rd
San Jose, CA 95112-4706 - Phone
- (408) 379-3790
- NPI assigned
- Nov 18, 2019
- Last updated
- Oct 1, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
232 E Gish Rd
San Jose, CA 95112-4706
Mailing address
1321 Cavalier CT
Hollister, CA 95023-3285
Phone (669) 308-3898
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1790321487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 CAVALIER CT",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233285",
"telephone_number": "669-308-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706",
"telephone_number": "408-379-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "CHRISTIAN",
"middle_name": "IVAN",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-18",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.