NPIMap

Organization Active NPI

Peer Professionals of California

  • Voluntary or Charitable Agency
  • San Diego, CA
National Provider Identifier
1467298174
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PEER PROFESSIONALS OF CALIFORNIA
Doing business as
Peer Professionals of California
Practice address
4181 Ruffin Rd Ste 150
San Diego, CA 92123-1876
Phone
(619) 292-9490
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mr. Robert Talmon Forte, CPPSNPI 1205610318
Title
Ceo
Phone
(619) 732-9772

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

4181 Ruffin Rd Ste 150
San Diego, CA 92123-1876

Mailing address

266 Landis Ave Apt D
Chula Vista, CA 91910-2642
Phone (619) 732-9972

Other identifiers 2

IdentifierTypeStateIssuer
5634580OtherCACOMMUNITY HEALTH WORKER
5634580OtherCACERTIFIED PEER SUPPORT

Other names 1

  • Peer Professionals of California Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1467298174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANDIS AVE APT D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102642",
            "telephone_number": "619-732-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 RUFFIN RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231876",
            "telephone_number": "619-292-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER PROFESSIONALS OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TALMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-732-9772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPPS"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH WORKER",
            "identifier": "5634580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PEER SUPPORT",
            "identifier": "5634580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peer Professionals of California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peer Professionals of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2024; 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.