JEANICE MAUREEN ORTIZ (NPI# 1104473131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104473131 |
| Entity Type | Individual |
| Full Name | JEANICE MAUREEN ORTIZ |
| Practice Address |
8775 Aero Dr Ste 132 San Diego CA 92123-1779 |
| Practice Telephone | 8586098742 |
| Practice Fax Number | 8582920322 |
| Mailing Telephone | 8586098742 |
| Mailing Fax Number | 8582920322 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
8775 AERO DR STE 132 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942436639 | Duval Manuel Najera | Marriage & Family Therapist | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2009-06-08 |
| 1376196774 | Cain Cortez | Case Manager/Care Coordinator | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2019-07-24 |
| 1972169696 | Alicia Ann Taylor | Counselor | 8775 Aero Dr Ste 132, San Diego, CA 92123 | 2019-05-17 |
| 1154898740 | Heather Paulette Howell | Registered Nurse | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2018-11-01 |
| 1821583097 | Elias Rafael Guedea Jr. | Case Manager/Care Coordinator | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2018-06-28 |
| 1922507359 | Lisa Dawn Matthews | Case Manager/Care Coordinator | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2018-02-12 |
| 1073024352 | Isaura Lucia Alvarez | Case Manager/Care Coordinator | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2017-10-13 |
| 1356851778 | Diane Dela Cruz Jordan | Licensed Practical Nurse | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2017-10-11 |
| 1043732944 | Mental Health Systems, Inc. | Community/Behavioral Health | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2017-07-12 |
| 1316471824 | Raul Enciso | Counselor | 8775 Aero Dr Ste 132, San Diego, CA 92123-1779 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
| 1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on JEANICE MAUREEN ORTIZ.
| 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.