JAMES WILLIAMS
NPI 1356964340
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since May 25, 2020PECOS EnrolledAccepts Medicare Assignment
2080 S E ST STE 250, SAN BERNARDINO, CA 92408(951) 992-8162 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2025, May 25, 2020 (2 updates tracked since 2020).

About James Williams NPPES

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

JAMES WILLIAMS (NPI 1356964340) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95027871) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356964340
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES WILLIAMS
Location Address2080 S E ST STE 250San Bernardino, CA 92408-2706
Mailing Address1214 W 51st StLos Angeles, CA 90037-3419 · (213) 321-0569
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 25, 2020
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1356964340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027871
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95065720 (CA)
2080 S E ST STE 250, San Bernardino, CA 92408

Accepted Insurance

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

James Williams 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 ID6305322454
PECOS Enrollment IDI20260115002505
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.

Medicare Billing Reassignments

4

Medicare enrollment records show James Williams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2080 S E ST STE 100
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1500 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
Psychiatry
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 208 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
544 S 1020 W
American Fork, UT 84003
  • Reassigned Medicare billing, Utah enrollment

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 92408 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
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 20

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

Counselor
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Licensed Vocational Nurse
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Student in an Organized Health Care Education/Training Program
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Student in an Organized Health Care Education/Training Program
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408

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 James Williams's NPI number?

The NPI number for James Williams is 1356964340. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is James Williams located?

James Williams practices at 2080 S E St Ste 250, San Bernardino, CA 92408. The listed phone number is (951) 992-8162.

What is James Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is James Williams enrolled in Medicare?

Yes. James Williams 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 James Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Williams reassigns Medicare benefits to 4 organizations: Telecare Corporation (San Bernardino, CA), St. Johns Community Health (San Bernardino, CA), Cep America - Psychiatry PC (Colton, CA) and Mindspace Nursing Inc (American Fork, UT). 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 James Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Williams accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list James Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Williams was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.