Individual provider Active NPI

Brett A. Rash, M.S.W, L.C.S.W.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1821103532
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005900A Issued in IN
Practice address
5060 Shoreham PL
San Diego, CA 92122-5903
Phone
(858) 326-6998
NPI assigned
Aug 20, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 34005900A IN Primary

Addresses

Primary practice location

5060 Shoreham PL
San Diego, CA 92122-5903

Mailing address

7491 Edinger Ave Unit 209
Huntington Beach, CA 92647-7893
Phone (714) 421-6027

Other practice location 1

96 MDG
307 Boatner Road
Eglin AFB, FL 32542
Phone (850) 883-9957

Other practice location 2

325th Medical Group
340 Magnolia Circle, Bldg. 1465
Tyndall AFB, FL 32403-5604
Phone (850) 283-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118001540 CA Practitioner - Clinical Social Worker 9436285608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Aug 9, 2022 Accepting new patients
Emerald Neuro-Recover PastSince Feb 11, 2020 Accepting new patients
Headlight Health Medical Group PLLC PastSince Mar 14, 2026 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

5060 Shoreham Pl
Ste 230
San Diego, CA 92122

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Interoperability endpoints

  • Direct secure messaging: brett.rash.p1@direct.sokya.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1821103532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 EDINGER AVE UNIT 209",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477893",
            "telephone_number": "714-421-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225903",
            "telephone_number": "858-326-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 MDG",
            "address_2": "307 Boatner Road",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "32542",
            "country_code": "US",
            "telephone_number": "850-883-9957",
            "fax_number": "850-883-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325th Medical Group",
            "address_2": "340 Magnolia Circle, Bldg. 1465",
            "address_purpose": "LOCATION",
            "city": "Tyndall AFB",
            "state": "FL",
            "postal_code": "324035604",
            "country_code": "US",
            "telephone_number": "850-283-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASH",
        "first_name": "BRETT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.S.W, L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005900A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.