Individual provider Active NPI

Elliot James Sutton-Inocencio, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • National City, CA
National Provider Identifier
1346929312
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025993 Issued in CA
Practice address
610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone
(619) 267-9257
Fax
(619) 267-9273
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025993 CA Primary

Addresses

Primary practice location

610 Euclid Ave Ste 200
National City, CA 91950-2951

Mailing address

610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone (619) 267-9257

Other practice location 1

610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone (855) 458-8867

Other practice location 2

2456 E St
San Diego, CA 92102-2024
Phone (619) 503-7680

Other practice location 3

8772 Cuyamaca St Ste 200
Santee, CA 92071-4206
Phone (619) 258-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603001554 CA Practitioner - Nurse Practitioner 4789126038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Health Systems LPGroup PAC ID 7911901392, 16 clinicians

Practice addresses (Care Compare)

610 Euclid Ave
Suite 200
National City, CA 91950-2951
Phone (619) 267-9257

Hospital & facility affiliations

  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced TMS Clinic Inc Military Health Care Provider CurrentSince Mar 11, 2024 Accepting new patients
Pacific Health Systems, L.P. Military Health Care Provider CurrentSince Mar 11, 2024 Accepting new patients

Locations

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

2122 S El Camino Real
Ste 200
Oceanside, CA 92054
Phone (619) 267-9257

8772 Cuyamaca St
Ste 104
Santee, CA 92071
Phone (619) 258-6397

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1346929312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "855-458-8867",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2456 E St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921022024",
            "country_code": "US",
            "telephone_number": "619-503-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8772 Cuyamaca St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714206",
            "country_code": "US",
            "telephone_number": "619-258-6730",
            "fax_number": "619-448-8586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON-INOCENCIO",
        "first_name": "ELLIOT",
        "middle_name": "JAMES",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.