James Windfred Faulkner

Key facts

NPI

1942901442

Entity type

Individual (NPI type 1)

Primary specialty

Peer Specialist 175T00000X

License

MPSS-JTKRCO (CA)

Practice address

840 N Avenue 66
Los Angeles, CA 90042-1508

Phone

(626) 395-7100

NPI assigned

Mar 13, 2023

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Valley Star Behavioral Health, Inc. Community/Behavioral Health Agency · Downey, CA · NPI 1396491973
  NPD (past)
• Valley Star Behavioral Health, Inc. Community/Behavioral Health Agency · Yucca Valley, CA · NPI 1457731606
  NPD (past)
• Valley Star Behavioral Health, Inc. Community/Behavioral Health Agency · Yucca Valley, CA · NPI 1649758236
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1942901442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N AVENUE 66",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N AVENUE 66",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421508",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Highland Springs Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922235771",
            "country_code": "US",
            "telephone_number": "626-395-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "JAMES",
        "middle_name": "WINDFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-JTKRCO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

• Anca Elena Fatu, N.P.
• Kierra Faturoti
• Patrick Thomas Faucette, R.P.T.
• Catherine Lynn Faughender, DNAP, CRNA
• Martin F Faugno, MSW
• William Eugene Faulkner, DDS
• Reina Carolina Faunce
• Nineveth Rose Fauni, PSYD
• Oliver Liam Fauria, FNP
• Catherina Rosalia Faust-Lopez

All providers in Los Angeles, CA · Peer Specialist in California