Individual provider Active NPI

Cecile Ortiz, NP-C

  • Gerontology Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1902458367
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95012707 Issued in CA
Practice address
23421 Lyons Ave
Santa Clarita, CA 91355-3028
Phone
(661) 244-1835
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG05190040 CA
Gerontology Nurse Practitioner 363LG0600X 95012707 CA Primary

Addresses

Primary practice location

23421 Lyons Ave
Santa Clarita, CA 91355-3028

Mailing address

23421 Lyons Ave
Santa Clarita, CA 91355-3028
Phone (661) 244-1835

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829002573 CA Practitioner - Nurse Practitioner 0446634299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012707CAMDGerontology Nurse Practitioner
AG05190040CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&E Medical Group-a Professional Nursing Corporation CurrentSince Jul 27, 2022 Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation PastSince Sep 3, 2025 Accepting new patients

Locations

600 N Brand Blvd
Ste 612
Glendale, CA 91203
Phone (818) 239-9293

Interoperability endpoints

  • Direct secure messaging: cortiz22815@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1902458367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23421 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913553028",
            "telephone_number": "661-244-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23421 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913553028",
            "telephone_number": "661-244-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CECILE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "AG05190040",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95012707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.