Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manuel Ortiz

Individual provider Clinical Social Worker · NPI 1255630323

Manuel Ortiz is a Clinical Social Worker in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2011
Specialties on file
5
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Practice location Address checks out

3211 Barbee St
Los Angeles, CA 90031-3407
Phone: (323) 572-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 130128 (CA)
Social Worker Taxonomy 104100000X · Licence 97219 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 97219 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1255630323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2011
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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