Julian De Obsidiana

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

5348 University Ave Ste 108
San Diego, CA 92105-8025

Phone

(619) 255-7550

NPI assigned

Feb 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Daena Esquivel-Escobar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Union of Pan Asian Communities

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1861606956
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1740873728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 UNIVERSITY AVE STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921058025",
            "telephone_number": "619-255-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 UNIVERSITY AVE STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921058025",
            "telephone_number": "619-255-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OBSIDIANA",
        "first_name": "JULIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ESQUIVEL-ESCOBAR",
            "middle_name": "DAENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Michelle De Mers, NP
• Ma Kristel De Mesa
• Amy De Meules, LCSW
• Mia De Nava
• Cyndie Claypool De Neve, AMFT
• Erica De Oliveira Ribeiro
• Kathryn De Oliveira, LCSW
• Diana Kristine De Rosa, L.C.G.C
• Bibiane De Rosales, PHARMD
• Alicia Louise De Santi

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.