Carla Bernadette Ortiz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G62825 Issued in CA

Practice address

12369 Figtree St
San Diego, CA 92131-3220

Phone

(858) 536-1287

NPI assigned

Dec 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1942960448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920740192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12369 FIGTREE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313220",
            "telephone_number": "858-536-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "0192 SAN DIEGO COUNTY",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "92074",
            "country_code": "US",
            "telephone_number": "858-536-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARLA",
        "middle_name": "BERNADETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Celeste Ortiz
• Angelica Marie Ortiz, D.C.
• Arisa Elena Ortiz, M.D.
• Azila Katherine Sabile Ortiz
• Bianca Ortiz
• Cassandra Isabel Ortiz, LCSW
• Colleen Michelle Ortiz, RN
• Cynthia Ortiz
• Daniela Ortiz
• Danielle Marissa Ortiz, MD

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.