JOE ANTHONY SEPULVEDA M.D.
NPI 1306165402
Psychiatry & Neurology - Psychiatry in San Diego, CA
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Joe Sepulveda reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
El Cajon, CA 92021
- Reassigned Medicare billing, Texas enrollment
- 18 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, California enrollment
- 101 clinicians in this Medicare group
Tacoma, WA 98421
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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.
Which organizations bill Medicare for Joe Sepulveda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joe Sepulveda reassigns Medicare benefits to 4 organizations: Family Health Centers Of San Diego, Inc. (San Diego, CA), Revive Pathway (El Cajon, CA), Momentum For Health (San Jose, CA) and Puyallup Tribal Opioid Clinic, Inc. (Tacoma, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joe Sepulveda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Joe Anthony Sepulveda, M.D. · NPI 1306165402
Psychiatry physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 28, 2010.
## Identity
- **NPI:** 1306165402 (Entity type: Individual)
- **Enumerated:** May 28, 2010
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A113283 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4065 3RD AVE, San Diego, CA 92103-2184
- **Phone:** (619) 255-5120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Health Centers Of San Diego, Inc. (NPI 1669827598, San Diego, CA); Revive Pathway (NPI 1962117440, El Cajon, CA); Momentum For Health (NPI 1235837873, San Jose, CA); Puyallup Tribal Opioid Clinic, Inc. (NPI 1992582613, Tacoma, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1306165402) · Data from the CMS NPPES public registry.