Healthcare Provider Details

I. General information

NPI: 1386580496
Provider Name (Legal Business Name): NARDA ORTIZ NEWKIRK STAFF NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1892 VILLA DEL DIOS GLN
ESCONDIDO CA
92029-5320
US

IV. Provider business mailing address

1892 VILLA DEL DIOS GLN
ESCONDIDO CA
92029-5320
US

V. Phone/Fax

Practice location:
  • Phone: 858-705-0241
  • Fax:
Mailing address:
  • Phone: 858-705-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number749641
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: