Active NPI
Jon Ebert Highum, M.D.
- Psychiatry Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G65798
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G65798 | Medicaid | CA |
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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65798 | CA | MD | Pharmacotherapy Pharmacist |
| G65798 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | 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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.