Active NPI
Joshua Charles Pelfrey, MSW
- Social Worker
- San Diego, CA
National Provider Identifier
1063765816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4283 El Cajon Blvd
San Diego, CA 92105-1289 - Phone
- (619) 219-1580
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 081732-II | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4283 El Cajon Blvd
San Diego, CA 92105-1289
Mailing address
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone (858) 552-8585
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081732-II | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1063765816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 LA JOLLA VILLAGE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610002",
"telephone_number": "858-552-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4283 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051289",
"telephone_number": "619-219-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELFREY",
"first_name": "JOSHUA",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "081732-II",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.