Individual provider Active NPI

Raymundo Pena Cawed, 101YA

  • Addiction (Substance Use Disorder) Counselor
  • El Cajon, CA
National Provider Identifier
1982339198
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19415 Issued in CA
Practice address
1400 N Johnson Avenue #101
El Cajon, CA 92020-1651
Phone
(619) 442-0277
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Peer Specialist 175T00000X CA
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 19415 CA Primary

Addresses

Primary practice location

1400 N Johnson Avenue #101
El Cajon, CA 92020-1651

Mailing address

1400 N Johnson Avenue #101
El Cajon, CA 92020-1651
Phone (619) 442-0277

Other practice location 1

409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505
Phone (888) 724-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1982339198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N JOHNSON AVENUE #101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201651",
            "telephone_number": "619-442-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N JOHNSON AVENUE #101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201651",
            "telephone_number": "619-442-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Camino Del Rio S Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083505",
            "country_code": "US",
            "telephone_number": "888-724-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAWED",
        "first_name": "RAYMUNDO",
        "middle_name": "PENA",
        "credential": "101YA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "19415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.