Individual provider Active NPI

Edelpaulette Jane Tumbali Pugh

  • Mental Health Counselor
  • Chula Vista, CA
National Provider Identifier
1902383334
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT140237 Issued in CA
Practice address
374 H St
Chula Vista, CA 91910-5547
Phone
(619) 510-8480
NPI assigned
Jul 27, 2018
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT140237 CA
Mental Health Counselor 101YM0800X LMFT140237 CA Primary

Addresses

Primary practice location

374 H St
Chula Vista, CA 91910-5547

Mailing address

5565 Grossmont Center Dr Ste 229
La Mesa, CA 91942-3026
Phone (858) 342-4572

Other practice location 1

8772 Cuyamaca St Ste 104
Santee, CA 92071-4207
Phone (619) 258-6730

Other practice location 2

610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone (619) 267-9257

Other practice location 3

610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone (855) 458-8867

Other practice location 4

5565 Grossmont Center Dr Ste 229
LA Mesa, CA 91942-3026
Phone (858) 342-4572

Other practice location 5

8772 Cuyamaca St Ste 104
Santee, CA 92071-4207
Phone (855) 458-8867

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002617 CA Practitioner - Marriage and Family Therapist 9537509542 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dymphna San Diego TMS IncGroup PAC ID 7517389018, 8 clinicians
Pacific Health Systems LPGroup PAC ID 7911901392, 16 clinicians
Datnguyen, M.D., Inc.Group PAC ID 4587668736, 16 clinicians

Practice addresses (Care Compare)

374 H St
Suite 201
Chula Vista, CA 91910-5547
Phone (619) 510-8480

8772 Cuyamaca St
Suite 104
Santee, CA 92071-4207
Phone (619) 258-6730

9855 Erma Rd
Suite 133
San Diego, CA 92131-1092
Phone (858) 348-3760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT140237CAMDMental Health Counselor
140237CAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dymphna San Diego TMS Inc CurrentSince Mar 11, 2024 Accepting new patients
Advanced TMS Clinic Inc CurrentSince Sep 1, 2025 Accepting new patients
Brenton D. Wynn, MD Inc CurrentSince Nov 1, 2025 Accepting new patients
Pacific Health Systems, L.P. Mental Health CurrentSince Sep 12, 2025 Accepting new patients
Genesis Medical Health a Professional Corporation CurrentSince May 14, 2024 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Thrivewell Medical Professional Corporation PastSince Sep 28, 2025 Accepting new patients
Innovative Pain Management Medical Group Past Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

374 H St
Chula Vista, CA 91910
Phone (619) 426-4546

374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 510-8480

1155 E Grand Ave
Ste 10
Escondido, CA 92025
Phone (760) 644-4027

502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

2122 S El Camino Real
Ste 200
Oceanside, CA 92054
Phone (619) 267-9257

10850 Baroque Ln
Ste A
San Diego, CA 92124
Phone (619) 267-9257

333 W Harbor Dr
Ste 126
San Diego, CA 92101

8772 Cuyamaca St
Ste 104
Santee, CA 92071
Phone (619) 258-6397

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1902383334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "858-342-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-510-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8772 Cuyamaca St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714207",
            "country_code": "US",
            "telephone_number": "619-258-6730",
            "fax_number": "619-448-8586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "855-458-8867",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 229",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423026",
            "country_code": "US",
            "telephone_number": "858-342-4572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8772 Cuyamaca St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714207",
            "country_code": "US",
            "telephone_number": "855-458-8867",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "EDELPAULETTE JANE",
        "middle_name": "TUMBALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140237",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT140237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.