Individual provider Active NPI

Fritzie V Cortes, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmira, CA
National Provider Identifier
1962283986
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023151180 Issued in CA
Practice address
5406 Vacastation Rd Elmira Ca 95625
Elmira, CA 95625-9562
Phone
(707) 628-0897
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023151180 CA Primary

Addresses

Primary practice location

5406 Vacastation Rd Elmira Ca 95625
Elmira, CA 95625-9562

Mailing address

PO Box 125
Elmira, CA 95625
Phone (707) 628-0897

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221003298 CA Practitioner - Nurse Practitioner 6507200219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hisham Soliman MD IncGroup PAC ID 9436282191, 49 clinicians

Practice addresses (Care Compare)

510 Plaza Dr
Suite 170
Folsom, CA 95630-4790
Phone (916) 351-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023151180CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Soliman MD Inc CurrentSince Jan 8, 2024 Accepting new patients
H Soliman Medical Corporation Psychiatric/Mental Health Past Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients

Locations (25 of 33)

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

5441 Aldrin Ct
Ste A
Bakersfield, CA 93313

2062 Talbert Dr
Ste 100
Chico, CA 95928
Phone (530) 431-8074

1245 W 6th St
Corona, CA 92882

2345 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 460-4465

2345 Fletcher Pkwy
#170
El Cajon, CA 92020

9381 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 667-8520

15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097

622 Jackson St
Unit 103
Fairfield, CA 94533

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

44240 Fremont Blvd
Fremont, CA 94538

4025 N Fresno St
Fresno, CA 93726

2955 Main St
Ste 110
Irvine, CA 92614

2955 Main St
Ste 110K
Irvine, CA 92614

3711 Long Beach Blvd
Ste 4045
Long Beach, CA 90807

509 13th St
Ste 8
Modesto, CA 95354

7365 Carnelian St
Ste 222F
Rancho Cucamonga, CA 91730
Phone (916) 315-9400

7177 Brockton Ave
Ste 444A
Riverside, CA 92506

2440 Professional Dr
Ste 1
Roseville, CA 95661

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

225 W Hospitality Ln
Ste 201P
San Bernardino, CA 92408

3200 4th Ave
Ste 200G
San Diego, CA 92103

3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391

550 Bryant St
San Francisco, CA 94107

Organizations & group practices 3

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": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1962283986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "ELMIRA",
            "state": "CA",
            "postal_code": "95625",
            "telephone_number": "707-628-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 VACASTATION RD ELMIRA CA 95625",
            "city": "ELMIRA",
            "state": "CA",
            "postal_code": "956259562",
            "telephone_number": "707-628-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES",
        "first_name": "FRITZIE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2023151180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, CA

Sources for this page

Verify at the official NPI Registry.