Individual provider Active NPI

Tony Ortiz

  • Psychologist
  • Orange, CA
National Provider Identifier
1932394947
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
28458 Issued in CA
Practice address
1010 W Chapman Ave
Orange, CA 92868-2847
Phone
(714) 633-4300
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 28458 CA Primary

Addresses

Primary practice location

1010 W Chapman Ave
Orange, CA 92868-2847

Mailing address

1010 W Chapman Ave
Orange, CA 92868-2847
Phone (714) 633-4300

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000215 CA Practitioner - Clinical Psychologist 4284929100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Practice addresses (Care Compare)

1010 W Chapman Ave
Orange, CA 92868-2847
Phone (714) 633-4300

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
74.98
Improvement activities
40
Cost
51.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
28458CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Neuropsychiatric Associates a P C CurrentSince Jul 8, 2016 Accepting new patients

Locations

1010 W Chapman Ave
Orange, CA 92868
Phone (714) 633-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1932394947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682847",
            "telephone_number": "714-633-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682847",
            "telephone_number": "714-633-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "28458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.