Individual provider Active NPI

Rafael James, LCSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1467697151
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0405341 Issued in NY
Practice address
500 La Terraza Blvd Ste 150
Escondido, CA 92025-3876
Phone
(858) 282-6117
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 70535 CA
Clinical Social Worker 1041C0700X R0405341 NY Primary

Addresses

Primary practice location

500 La Terraza Blvd Ste 150
Escondido, CA 92025-3876

Mailing address

224 Saxony E
Delray Beach, FL 33446-1844
Phone (858) 282-6117

Other practice location 1

224 Saxony E
Delray Beach, FL 33446-1844
Phone (858) 282-6117

Other practice location 2

1840 Crompond Rd Apt 2A3
Peekskill, NY 10566-4137
Phone (858) 282-6117

Other identifiers 2

IdentifierTypeStateIssuer
R040534-01OtherNYTHE UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT OFFICE OF PROFESSIONS
SW21387OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170206002159 CA Practitioner - Clinical Social Worker 8527123603 Reassigns benefits to 2 organizations
I20231107001797 FL Practitioner - Clinical Social Worker 8527123603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14905 Wedgefield Dr
Apt 102
Delray Beach, FL 33446-1382
Phone (858) 282-6117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0405341NYMDClinical Social Worker
040534NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatric & Psychotherapy Center CurrentSince Feb 2, 2009 Accepting new patients
Jewish Family Service of San Diego CurrentSince Apr 3, 2017 Accepting new patients
Sondermind PC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Dennis Marcus MD PC PastSince Feb 2, 2009 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

8804 Balboa Ave
San Diego, CA 92123
Phone (858) 637-3000

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

20 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-1845

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1467697151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAXONY E",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461844",
            "telephone_number": "858-282-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LA TERRAZA BLVD STE 150",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253876",
            "telephone_number": "858-282-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Saxony E",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334461844",
            "country_code": "US",
            "telephone_number": "858-282-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Crompond Rd Apt 2A3",
            "address_purpose": "LOCATION",
            "city": "Peekskill",
            "state": "NY",
            "postal_code": "105664137",
            "country_code": "US",
            "telephone_number": "858-282-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RAFAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "70535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0405341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT OFFICE OF PROFESSIONS",
            "identifier": "R040534-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "SW21387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.