Active NPI
Jose Enciso Jr.
- Counselor
- Hesperia, CA
National Provider Identifier
1114725157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14318
- Practice address
- 14463 Welsh CT
Hesperia, CA 92345-7752 - Phone
- (909) 528-2141
- NPI assigned
- Mar 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14318 | CA | Primary |
Addresses
Primary practice location
14463 Welsh CT
Hesperia, CA 92345-7752
Mailing address
1321 Spring Valle Pkwy
#203
Victorville, CA 92395
Phone (442) 327-9151
Other names 1
- Mr. Jose Enciso Jr.
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 |
|---|---|---|---|
| 14318 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1114725157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 SPRING VALLE PKWY",
"address_2": "#203",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "442-327-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14463 WELSH CT",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923457752",
"telephone_number": "909-528-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCISO",
"first_name": "JOSE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "14318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "ENCISO",
"prefix": "MR.",
"suffix": "JR.",
"credential": "APCC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.