Individual provider Active NPI

Joseph Andrew Forrest I, MPSS-EYDHQB

  • Peer Specialist
  • San Diego, CA
National Provider Identifier
1134932163
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-EYDHQB Issued in CA
Practice address
5101 Market St Ste 2300
San Diego, CA 92114-2225
Phone
(858) 351-6000
Fax
(619) 866-6245
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-EYDHQB CA Primary

Addresses

Primary practice location

5101 Market St Ste 2300
San Diego, CA 92114-2225

Mailing address

5101 Market St Ste 2300
San Diego, CA 92114-2225
Phone (858) 351-6000

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

LicenseStateTypeSpecialty
MPSS-EYDHQBCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince Feb 2, 2025 Accepting new patients

Locations

5101 Market St
Ste 2300
San Diego, CA 92114
Phone (858) 351-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1134932163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MARKET ST STE 2300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921142225",
            "telephone_number": "858-351-6000",
            "fax_number": "619-866-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MARKET ST STE 2300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921142225",
            "telephone_number": "858-351-6000",
            "fax_number": "619-866-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_suffix": "I",
        "credential": "MPSS-EYDHQB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-EYDHQB",
            "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 Jan 31, 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.

Verify at the official NPI Registry.