Individual provider · Type 1 NPI

Grace Ortiz

Nurse Practitioner · Sacramento, CA

NPI number 1104632579 Active

Practice location

8202 Gardenside Ct
Sacramento, CA 95829-9282

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF04250092 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104632579

Grace Ortiz's National Provider Identifier is 1104632579, issued on Dec 10, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 26, 2026.