Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629429790 Individual Practitioner Female Practitioner

Pearl Ortiz

Rehabilitation Practitioner • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Pearl Ortiz is a registered healthcare professional specializing in Rehabilitation Practitioner in Berkeley, CA. Practice services are available at 1280 UNIVERSITY AVE APT D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1280 University Ave Apt D

Berkeley, CA 947021762

Telephone 1544101294

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Berkeley, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-30
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 00
00

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Case Manager/Care Coordinator

📍
Updated Business Mailing Address August 28, 2024

Registered at 1089 BLUEBELL DR APT 901, LIVERMORE, CA 945511388 (Tel: 9255337637)

👤
Provider Name / Credentials Updated October 31, 2018

Recorded as PEARL ORTIZ

📍
Updated Practice Location September 13, 2018

Registered at 1280 UNIVERSITY AVE APT D, BERKELEY, CA 947021762 (Tel: 1544101294)

📍
Updated Business Mailing Address September 13, 2018

Registered at 1280 UNIVERSITY AVE APT D, BERKELEY, CA 947021762 (Tel: 1544101294)

NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2016

Registered at 852 AVENUE D, SAN FRANCISCO, CA 941302002 (Tel: 4159964503)

📍
Updated Business Mailing Address June 29, 2016

Registered at 852 AVENUE D, SAN FRANCISCO, CA 941302002 (Tel: 4159964503)

👤
Provider Name / Credentials Updated June 29, 2016

Recorded as PEARL LICANO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Counselor

🟢
Initial NPI Registration & Enumeration June 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629429790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2016
Last Update: April 30, 2025
Sole Proprietor: Yes

Mailing Address

1089 Bluebell Dr Apt 901

Livermore, CA 945511388

Phone: 9255337637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.