Individual provider Active NPI

Jon Ebert Highum, M.D.

  • Psychiatry Physician
  • La Mesa, CA
National Provider Identifier
1538215603
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G65798 Issued in CA
Practice address
7777 Alvarado Rd # 255
La Mesa, CA 91941-3616
Phone
(619) 461-9353
Fax
(619) 443-8338
NPI assigned
Jan 25, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G65798 CA Primary

Addresses

Primary practice location

7777 Alvarado Rd # 255
La Mesa, CA 91941-3616

Mailing address

7777 Alvarado Rd # 255
La Mesa, CA 91941-3616
Phone (619) 461-9353

Other identifiers 1

IdentifierTypeStateIssuer
G65798MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000429 CA Practitioner - Psychiatry 6709963697 Reassigns benefits to 1 organization
Practice locations: El Cajon, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15016 Quail Valley Way
El Cajon, CA 92021-2231

225 W Madison Ave
Suite 2
El Cajon, CA 92020-3454
Phone (619) 971-1423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65798CAMDPharmacotherapy Pharmacist
G65798CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 20, 2010 Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538215603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD # 255",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413616",
            "telephone_number": "619-461-9353",
            "fax_number": "619-443-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD # 255",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413616",
            "telephone_number": "619-461-9353",
            "fax_number": "619-443-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHUM",
        "first_name": "JON",
        "middle_name": "EBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G65798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G65798",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.