Active NPI
Jacob Eli Maldonado, APCC
- Mental Health Counselor
- Poway, CA
National Provider Identifier
1245149160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 23128
- Practice address
- 12306 Old Pomerado Rd SPC 2
Poway, CA 92064-5338 - Phone
- (858) 213-4573
- NPI assigned
- Sep 4, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 23128 | CA | Primary |
Addresses
Primary practice location
12306 Old Pomerado Rd SPC 2
Poway, CA 92064-5338
Mailing address
12306 Old Pomerado Rd SPC 2
Poway, CA 92064-5338
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": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1245149160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12306 OLD POMERADO RD SPC 2",
"city": "POWAY",
"state": "CA",
"postal_code": "920645338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12306 OLD POMERADO RD SPC 2",
"city": "POWAY",
"state": "CA",
"postal_code": "920645338",
"telephone_number": "858-213-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "JACOB",
"middle_name": "ELI",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "23128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.