CAROLYN ORTEGA (NPI# 1386764520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386764520 |
| Entity Type | Individual |
| Full Name | CAROLYN ORTEGA |
| Practice Address |
921 S Beacon St San Pedro CA 90731-3740 |
| Mailing Address |
4666 Firestone Blvd South Gate CA 90280-3447 |
| Practice Telephone | 3105473341 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
921 S BEACON ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1902460207 | Cecelia Monzon | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-23 |
| 1104388248 | Margarita Lekhtsikava | Counselor | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-05 |
| 1427519586 | Maimunata Jones | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-03-29 |
| 1558859660 | Krystal Michelle Cvitanovich | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-04-24 |
| 1598268203 | Taneka Johnson | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-03-09 |
| 1518417211 | Christina Suan | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2016-10-06 |
| 1548639461 | Mika Ozawa | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-09-22 |
| 1518347046 | Karen Diane Figgins | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-05-29 |
| 1346642287 | Sonam Kapadia | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1073059325 | Gabriela Andreina Peraza | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St Ste 221, San Pedro, CA 90731-1270 | 2017-01-10 |
| 1134406242 | Vittoria Marie Imperial Ledesma | Student in an Organized Health Care Education/Training Program | 514 W 26th St, Apt 317, San Pedro, CA 90731-6373 | 2011-11-03 |
| 1114170677 | Juliette Peat | Student in an Organized Health Care Education/Training Program | 339 W 6th St, San Pedro, CA 90731-3317 | 2008-10-28 |
| 1851839724 | Pamela Street | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St, Suite 221, San Pedro, CA 90731-1267 | 2017-02-10 |
| 1518417211 | Christina Suan | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2016-10-06 |
| 1669928701 | Jorge Beanato | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St, Suite 228, San Pedro, CA 90731-1267 | 2016-08-29 |
| 1356709539 | Ron J Ewell | Student in an Organized Health Care Education/Training Program | 150 W 7th St, San Pedro, CA 90731-3320 | 2016-02-03 |
| 1265899785 | Juan Carlos Fernandez | Student in an Organized Health Care Education/Training Program | 150 W 7th St, San Pedro, CA 90731-3320 | 2016-01-28 |
| 1548639461 | Mika Ozawa | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-09-22 |
| Find all providers in SAN PEDRO | ||||
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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.