Manuel Ortiz, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sud Specialty Group - Ca and his current practice location is
3211 Barbee St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 572-1570.
Manuel Ortiz is licensed to practice in California (license number 130128) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255630323.
Healthcare Provider's Profile
| Full Name | Manuel Ortiz |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 3211 Barbee St, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Manuel Ortiz graduated from medical school in 2020
NPI Data:
- NPI Number: 1255630323
- Provider Enumeration Date: 03/15/2011
- Last Update Date: 10/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628576873
- Enrollment ID: I20250807003512
Medical Identifiers
Medical identifiers for Manuel Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255630323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 97219 (California) | Secondary |
| 104100000X | Social Worker | 97219 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 130128 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sud Specialty Group - Ca | 9537534177 | 519 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Manuel Ortiz allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Manuel Ortiz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Manuel Ortiz,
3211 Barbee St,
Los Angeles, CA 90031-3407
Ph: (323) 572-1570 | Manuel Ortiz,
3211 Barbee St,
Los Angeles, CA 90031-3407
Ph: (323) 572-1570 |
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