Individual provider Active NPI

Anthony David Ortega

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1902569585
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12989 Issued in CA
Practice address
1235 E St
Fresno, CA 93706-2024
Phone
(559) 268-6261
Fax
(559) 268-7518
NPI assigned
Oct 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12989 CA Primary

Addresses

Primary practice location

1235 E St
Fresno, CA 93706-2024

Mailing address

1235 E St
Fresno, CA 93706-2024
Phone (559) 268-6261

Other practice location 1

1414 W Kearney Blvd
Fresno, CA 93706-2702
Phone (559) 485-0501

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

State licenses

LicenseStateTypeSpecialty
12989CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Hispanic Commission Past Accepting new patients

Organizations & group practices 1

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1902569585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062024",
            "telephone_number": "559-268-6261",
            "fax_number": "559-268-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062024",
            "telephone_number": "559-268-6261",
            "fax_number": "559-268-7518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Kearney Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937062702",
            "country_code": "US",
            "telephone_number": "559-485-0501",
            "fax_number": "559-485-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.