Active NPI
Matthew B. Naughton, CPSS
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1114433588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1544610124
- Practice address
- 3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430 - Phone
- (619) 521-5720
- Fax
- (619) 521-5728
- NPI assigned
- Dec 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1544610124 | CA | Primary |
Addresses
Primary practice location
3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430
Mailing address
4541 Hamilton St Apt 5
San Diego, CA 92116-3033
Phone (619) 613-6877
Other practice location 1
3539 College Ave
San Diego, CA 92115-7032
Phone (619) 818-3788
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 |
|---|---|---|---|
| R1544610124 | 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": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1114433588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 HAMILTON ST APT 5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921163033",
"telephone_number": "619-613-6877",
"fax_number": "619-795-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 EL CAJON BLVD STE 13",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041430",
"telephone_number": "619-521-5720",
"fax_number": "619-521-5728"
}
],
"practiceLocations": [
{
"address_1": "3539 College Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921157032",
"country_code": "US",
"telephone_number": "619-818-3788",
"fax_number": "619-795-6906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAUGHTON",
"first_name": "MATTHEW",
"middle_name": "B.",
"credential": "CPSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-21",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1544610124",
"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 Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.