Active NPI
Guillermo Cortez Jr.
- Case Manager/Care Coordinator
- Merced, CA
National Provider Identifier
1912455270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 480 E 13TH St
Merced, CA 95341-6214 - Phone
- (209) 381-6800
- NPI assigned
- Sep 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
480 E 13TH St
Merced, CA 95341-6214
Mailing address
PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CALIFORNIA | Medicaid | CA |
Other names 1
- Mr. Willie Cortez Jr.
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1912455270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087",
"telephone_number": "209-381-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416214",
"telephone_number": "209-381-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "GUILLERMO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CALIFORNIA",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIE",
"last_name": "CORTEZ",
"prefix": "MR.",
"suffix": "JR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.