Individual provider Active NPI

Elia Tafoya

  • Community/Behavioral Health Agency
  • Temecula, CA
National Provider Identifier
1104188168
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
80744 Issued in CA
Practice address
41840 Enterprise Cir N
Temecula, CA 92590-5654
Phone
(833) 867-4642
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 80744 CA
Mental Health Counselor 101YM0800X
Community/Behavioral Health Agency 251S00000X 80744 CA Primary

Addresses

Primary practice location

41840 Enterprise Cir N
Temecula, CA 92590-5654

Mailing address

27890 Clinton Keith Rd Ste D496
Murrieta, CA 92562-8571
Phone (323) 229-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208001491 CA Practitioner - Clinical Social Worker 5597025700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80744CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jun 7, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Jun 7, 2025 Accepting new patients

Locations

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1104188168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH RD STE D496",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628571",
            "telephone_number": "323-229-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41840 ENTERPRISE CIR N",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905654",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "ELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80744",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "80744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.