MEDICARE: MARIA ALICIA ORTIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	167G00000X	Licensed Psychiatric Technician	32071	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1568219855	OTHER		TELECARE KERN PHF

General Provider Information

NPI Number	:	1649543927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ALICIA ORTIZ

Provider Business Mailing Address
First Line	:	718 WORKMAN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-6800
Country	:	US
Telephone Number	:	661-335-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 WORKMAN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-6800
Country	:	US
Telephone Number	:	661-335-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2012
Last Update Date	:	07/02/2025

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Directions to “ MARIA ALICIA ORTIZ ” Practice Location

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