Individual provider Active NPI

Jonathan Ryan Bethel, LCSW # 107684

  • Clinical Social Worker
  • Murrieta, CA
National Provider Identifier
1962087114
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107684 Issued in CA
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

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316000373 CA Practitioner - Clinical Social Worker 4385018209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Care Group, a Psychological Professional Corporation CurrentSince Mar 1, 2023 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.

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

Verify at the official NPI Registry.