MRS. MICHELLE ORTEGA SUDRC
NPI 1366978124
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA

Active since May 11, 2017
710 MISSOURI ST, FAIRFIELD, CA 94533(707) 399-9190 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2022, Aug 16, 2019, May 11, 2017 (3 updates tracked since 2017).

About Mrs. Michelle Ortega Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE ORTEGA SUDRC (NPI 1366978124) is an individual addiction (substance use disorder) provider in Fairfield, California, licensed in California (12803) and active in the NPI registry since May 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366978124
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MICHELLE ORTEGACredential: SUDRC
Location Address710 MISSOURI STFairfield, CA 94533-6251
Mailing Address2100 Napa Vallejo Hwy Bldg 253m1m2Napa, CA 94558-6234 · (707) 255-8001 · Fax (707) 255-8006
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1366978124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 12803
710 MISSOURI ST, Fairfield, CA 94533

Secondary Practice Locations 2

Location 12100 Napa Vallejo Hwy # M2M3Napa, CA 94558-6234 · Phone (707) 255-8001 · Fax (707) 255-8006
Location 21515 Market AveSan Pablo, CA 94806-4357 · Phone (510) 232-7571 · Fax (510) 235-2545

Other Identifiers 2

Medicaid1265560130CA
OtherR1255450617CA · California

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
710 MISSOURI ST
FAIRFIELD, CA 94533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Ortega's NPI number?

The NPI number for Michelle Ortega is 1366978124. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Michelle Ortega located?

Michelle Ortega practices at 710 Missouri St, Fairfield, CA 94533. The listed phone number is (707) 399-9190.

What is Michelle Ortega's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michelle Ortega was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.