Active NPI
Sandra Ortiz
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1922300532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 65145
- Practice address
- 155 N Occidental Blvd
Los Angeles, CA 90026-4641 - Phone
- (213) 381-2931
- Fax
- (213) 385-0884
- NPI assigned
- Dec 2, 2010
- Reactivated
- Dec 11, 2019
- Last updated
- Dec 11, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 65145 | CA | Primary |
Addresses
Primary practice location
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Mailing address
155 N Occidental Blvd
Los Angeles, CA 90026-4641
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 65145 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1922300532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-381-2931",
"fax_number": "213-385-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"deactivation_date": "2019-11-25",
"reactivation_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 65145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.