Individual provider Active NPI

Jonathan Ryan Clay, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1952170268
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028526 Issued in CA
Practice address
14280 Ricaree Rd
Apple Valley, CA 92307-5724
Phone
(760) 646-7399
NPI assigned
Dec 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028526 CA Primary

Addresses

Primary practice location

14280 Ricaree Rd
Apple Valley, CA 92307-5724

Mailing address

14280 Ricaree Rd
Apple Valley, CA 92307-5724
Phone (760) 646-7399

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000670 CA Practitioner - Nurse Practitioner 2961936224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

72980 Fred Waring Dr
Suite C
Palm Desert, CA 92260-2898
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028526CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC CurrentSince Sep 8, 2025 Accepting new patients
Headlight Health Medical Group PLLC PastSince Mar 28, 2026 Accepting new patients

Locations

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

32605 Temecula Pkwy
Ste 305
Temecula, CA 92592
Phone (858) 427-5060

Interoperability endpoints

  • Direct secure messaging: jonathan.clay.p1@direct.sokya.nextgenshare.com

Organizations & group practices 2

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": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1952170268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 RICAREE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075724",
            "telephone_number": "760-646-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 RICAREE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075724",
            "telephone_number": "760-646-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JONATHAN",
        "middle_name": "RYAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.