Provider Demographics
NPI:1114672466
Name:ORTEGA CARDENAS, NATALIE YASMIN
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:YASMIN
Last Name:ORTEGA CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:RIO LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:95673-0374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 PRISON RD
Practice Address - Street 2:
Practice Address - City:REPRESA
Practice Address - State:CA
Practice Address - Zip Code:95671-1786
Practice Address - Country:US
Practice Address - Phone:916-985-8610
Practice Address - Fax:916-294-3061
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program