VORTEX PSYCHIATRY, INC. (NPI# 1083088652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083088652 |
| Entity Type | Organization |
| Organization Name | VORTEX PSYCHIATRY, INC. |
| Practice Address |
2305 Camino Ramon Suite 221 San Ramon CA 94583-1396 |
| Mailing Address |
4847 Hopyard Rd Suite 4411 Pleasanton CA 94588-3360 |
| Practice Telephone | 9252644069 |
| Practice Fax Number | 9252644069 |
| Mailing Telephone | 9252644069 |
| Mailing Fax Number | 9252644069 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | DR. SAID ALI IBRAHIMI (OWNER) |
| Authorized Official Telephone | 9252644069 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
A129171 | CA | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
A129171 | CA | Ambulatory Health Care Facilities |
| Street Address |
2305 CAMINO RAMON SUITE 221 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086135 | Jay Roy Delaney | Optometrist | 2305 Camino Ramon, #202, San Ramon, CA 94583-1396 | 2005-07-09 |
| 1649635681 | John Muir Physician Network | Internal Medicine | 2305 Camino Ramon, #100, San Ramon, CA 94583-1396 | 2015-12-17 |
| 1154703049 | Anthony H Nguyen Dentist Inc | Dentist | 2305 Camino Ramon, 215, San Ramon, CA 94583-1396 | 2015-06-26 |
| 1982956280 | John Muir Physician Network | Internal Medicine | 2305 Camino Ramon, #270, San Ramon, CA 94583-1396 | 2012-10-10 |
| 1588811822 | Robert B. Neves, M.d., Inc. | Ophthalmology | 2305 Camino Ramon, Suite 202, San Ramon, CA 94583-1396 | 2008-08-19 |
| 1548437940 | Luisa A. Duran | Internal Medicine | 2305 Camino Ramon, #270, San Ramon, CA 94583-1396 | 2008-05-14 |
| 1174791677 | Inocencio D. Candelaria Jr. | Family Medicine | 2305 Camino Ramon, Suite 100, San Ramon, CA 94583-1396 | 2008-02-19 |
| 1598825010 | Anthony H Nguyen | Dentist | 2305 Camino Ramon, Suite 215, San Ramon, CA 94583-1396 | 2006-12-12 |
| 1275607848 | Afsheen Mostofi | Family Medicine | 2305 Camino Ramon, Suite 100, San Ramon, CA 94583-1396 | 2006-11-17 |
| 1669579843 | Angela Pourghassemi Dmd, Inc. | Dentist | 2305 Camino Ramon, #230, San Ramon, CA 94583-1396 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.