Individual provider Active NPI

Daniel Allen Bostic

  • Addiction (Substance Use Disorder) Counselor
  • El Cajon, CA
National Provider Identifier
1194636126
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
26826 Issued in CA
Practice address
1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
Phone
(619) 442-0277
Fax
(619) 442-1101
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26826 CA Primary

Addresses

Primary practice location

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
Phone (619) 442-0277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1194636126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N JOHNSON AVE STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201651",
            "telephone_number": "619-442-0277",
            "fax_number": "619-442-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N JOHNSON AVE STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201651",
            "telephone_number": "619-442-0277",
            "fax_number": "619-442-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "DANIEL",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "26826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.