Active NPI
Kathy Ortiz-Cobian, PH.D
- Psychologist
- San Quentin, CA
National Provider Identifier
1851047658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36309
- Practice address
- 1 Main St # 415
San Quentin, CA 94964-1000 - Phone
- (424) 345-4525
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36309 | CA | Primary |
Addresses
Primary practice location
1 Main St # 415
San Quentin, CA 94964-1000
Mailing address
1 Main St # 415
San Quentin, CA 94964-1000
Phone (424) 345-4525
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36309 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1851047658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST # 415",
"city": "SAN QUENTIN",
"state": "CA",
"postal_code": "949641000",
"telephone_number": "424-345-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST # 415",
"city": "SAN QUENTIN",
"state": "CA",
"postal_code": "949641000",
"telephone_number": "424-345-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-COBIAN",
"first_name": "KATHY",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "36309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Quentin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.