Individual provider Active NPI

Juliana Ruth Weston-de Los Reyes, SUDCC

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1487415808
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19508 Issued in CA
Practice address
4443 30TH St
San Diego, CA 92116-4288
Phone
(619) 597-7335
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19508 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 162069 CA

Addresses

Primary practice location

4443 30TH St
San Diego, CA 92116-4288

Mailing address

4224 Camino de la PLZ Apt 20a
San Ysidro, CA 92173-3031
Phone (619) 817-9029

Other practice location 1

1750 5th Ave
San Diego, CA 92101-2754
Phone (619) 515-2588

Other names 1

  • Juliana Ruth Weston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
162069CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Area Advisory Committee on Anti-Poverty of San Diego County, Inc. PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 1

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1487415808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 CAMINO DE LA PLZ APT 20A",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733031",
            "telephone_number": "619-817-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164288",
            "telephone_number": "619-597-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921012754",
            "country_code": "US",
            "telephone_number": "619-515-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTON-DE LOS REYES",
        "first_name": "JULIANA",
        "middle_name": "RUTH",
        "credential": "SUDCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "19508",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "162069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "WESTON",
            "middle_name": "RUTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 26, 2026; 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.