Active NPI
Jonathan Ryan Bethel, LCSW # 107684
- Clinical Social Worker
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107684
- Practice address
- 27768 Carlton Oaks St
Murrieta, CA 92562-4378 - Phone
- (951) 691-8181
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107684 | CA | Primary |
Addresses
Primary practice location
27768 Carlton Oaks St
Murrieta, CA 92562-4378
Mailing address
301 Victoria St
Costa Mesa, CA 92627-1995
Phone (949) 642-2734
Other practice location 1
301 Victoria St
Costa Mesa, CA 92627-7131
Phone (949) 642-2734
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Current | Accepting new patients |
Locations
2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322
2124 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (760) 405-4787
3511 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 289-7322
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Alpine, CA
- NPI 1275177982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1962087114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271995",
"telephone_number": "949-642-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27768 CARLTON OAKS ST",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624378",
"telephone_number": "951-691-8181"
}
],
"practiceLocations": [
{
"address_1": "301 Victoria St",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926277131",
"country_code": "US",
"telephone_number": "949-642-2734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETHEL",
"first_name": "JONATHAN",
"middle_name": "RYAN",
"credential": "LCSW # 107684",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "107684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.