Organization Active NPI

West Coast Telepsychiatry, a Professional Nursing Corporation

  • Psychiatry Physician
  • Victorville, CA
National Provider Identifier
1235727553
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WEST COAST TELEPSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
Practice address
16888 Nisqualli Rd
Victorville, CA 92395-9703
Phone
(760) 486-4246
NPI assigned
Jan 3, 2021
Last updated
Jan 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Authorized official

Name
Roy Jerome Sescon, NURSE PRACTITIONERNPI 1831750892
Title
President
Phone
(760) 486-4246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

16888 Nisqualli Rd
Victorville, CA 92395-9703

Mailing address

1968 S Coast Hwy # 5150
Laguna Beach, CA 92651-3681

Other names 1

  • West Coast Telepsychiatry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1235727553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 5150",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16888 NISQUALLI RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959703",
            "telephone_number": "760-486-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST TELEPSYCHIATRY, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "SESCON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-486-4246",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Telepsychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.