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JOE ANTHONY SEPULVEDA M.D.
NPI 1306165402
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since May 28, 2010PECOS EnrolledAccepts Medicare Assignment
4065 3RD AVE, SAN DIEGO, CA 92103(619) 255-5120 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Joe Anthony Sepulveda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOE ANTHONY SEPULVEDA M.D. (NPI 1306165402) is an individual psychiatry provider in San Diego, California, licensed in California (A113283) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1306165402
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOE ANTHONY SEPULVEDACredential: M.D.
Location Address4065 3RD AVESan Diego, CA 92103-2184
Mailing Address401 Quarry Road, Room 2204Stanford, CA 94025 · (650) 617-2623
Phone(619) 255-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 28, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1306165402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A113283
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4065 3RD AVE, San Diego, CA 92103
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Secondary Practice Locations 2

Location 12204 National AveSan Diego, CA 92113-3615 · Phone (619) 515-2355
Location 2401 Quarry Road, Room 2204Palo Alto, CA 94305 · Phone (650) 725-2769

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joe Anthony Sepulveda M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466617287
PECOS Enrollment IDI20241001002733
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH BRAUFMAN STEIN M.D.
Internal Medicine
4065 3RD AVE, SUITE 101
SAN DIEGO, CA 92103
San Diego County (619) 296-3800
JOHN WALTER MARSHALL SUDCC
Counselor (Addiction (Substance Use Disorder))
4065 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4065 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
JORDAN SHEARED GUTIERREZ LCSW
Social Worker (Clinical)
4065 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2419
ANTHONY P. POTENTE, MS, DDS, APC
Dentist (Endodontics)
4065 3RD AVE, SUITE 300
SAN DIEGO, CA 92103
San Diego County (619) 298-2291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe Sepulveda's NPI number?

The NPI number for Joe Sepulveda is 1306165402. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Joe Sepulveda located?

Joe Sepulveda practices at 4065 3rd Ave, San Diego, CA 92103. The listed phone number is (619) 255-5120.

What is Joe Sepulveda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Joe Sepulveda enrolled in Medicare?

Yes. Joe Sepulveda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joe Sepulveda was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.