Tabitha Ortiz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95066523 Issued in CA

Practice address

1205 E North St
Manteca, CA 95336-4932

Phone

(209) 823-3111

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1982254322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 ESTANCIA DR",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "953269163",
            "telephone_number": "909-969-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364932",
            "telephone_number": "209-823-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1832 Estancia Dr",
            "address_purpose": "LOCATION",
            "city": "Hughson",
            "state": "CA",
            "postal_code": "953269163",
            "country_code": "US",
            "telephone_number": "909-969-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TABITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "549487",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95066523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lorenza Liset Ortega
• Eddie Ortiz Blanchet
• Amanda Ortiz
• Dorothy Ortiz
• Sheena Marie Ortiz
• Bella Gracey Paddack
• M. Clara Padero, MD
• Eva Marie Padilla
• Mary Jane Padilla
• Tanesia Rashell Paige Balumbu, LCSW

• Registered Nurse in Manteca, CA
• Providers in Manteca, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.