Individual provider Active NPI

William Morris Coombs III, DSW, ACSW

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1013405968
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5520 Wellesley St Ste 100
La Mesa, CA 91942-4401
Phone
(619) 860-8447
NPI assigned
Apr 26, 2018
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CA Primary

Addresses

Primary practice location

5520 Wellesley St Ste 100
La Mesa, CA 91942-4401

Mailing address

2085 Rustin Ave
Riverside, CA 92507-2498
Phone (951) 715-5040

Other practice location 1

14980 Rancho Santa Fe Farms Rd
Rancho Santa Fe, CA 92067-9206
Phone (833) 736-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Oasis San Diego Inc CurrentSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1013405968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 RUSTIN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072498",
            "telephone_number": "951-715-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 WELLESLEY ST STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424401",
            "telephone_number": "619-860-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14980 Rancho Santa Fe Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "postal_code": "920679206",
            "country_code": "US",
            "telephone_number": "833-736-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "WILLIAM",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.