Healthcare Provider Details

I. General information

NPI: 1043114408
Provider Name (Legal Business Name): NAHOMIE ESTHER ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 TUPELO DR
CITRUS HEIGHTS CA
95621-1741
US

IV. Provider business mailing address

1793 INDEPENDENCE BLVD APT 206
SALINAS CA
93906-5347
US

V. Phone/Fax

Practice location:
  • Phone: 916-729-3098
  • Fax:
Mailing address:
  • Phone: 831-256-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: