Michael Anthony Ortega Jr.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

24-CCHW-00010 Issued in CA

Practice address

3145 Market St Apt 212
Riverside, CA 92501-2471

Phone

(951) 823-6381

NPI assigned

May 6, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1871340885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 MARKET ST APT 212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012471",
            "telephone_number": "951-823-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 MARKET ST APT 212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012471",
            "telephone_number": "951-823-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RH0011410823",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "24-CCHW-00010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED COMMUNITY HEALTH WORKER",
            "identifier": "24-CCHW-00010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Ortega
• Jovannah Ortega
• Kimberly Yanet Ortega
• Leticia Isabel Ortega, NP
• Lucy Ortega
• Natalie Ortega
• Noe Ortega
• Rebecca G Ortega
• Ruth Abelina Ortega
• Uriel Ortega

• Community/Behavioral Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.