Active NPI
Pablo Guillermo Ponce
- Professional Counselor
- Santa Clara, CA
National Provider Identifier
1609584648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20358
- Practice address
- 5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140 - Phone
- (323) 205-7088
- NPI assigned
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20358 | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Mailing address
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Phone (909) 763-5540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20358 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1609584648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 300",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011148",
"telephone_number": "909-763-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY STE 320",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541140",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "PABLO",
"middle_name": "GUILLERMO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.