1. Home
  2. Directory
  3. California
  4. Hemet
  5. Community Behavioral Health
  6. NPI Profile

SOUTHERN COAST PSYCH MEDICAL ASSOCIATES PC
NPI 1467269068
Community/Behavioral Health in Hemet, CA

Active since December 17, 2024
903 E DEVONSHIRE AVE STE E, HEMET, CA 92543(951) 322-4532(844) 314-9910 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, Dec 17, 2024 (2 updates tracked since 2024).

About Southern Coast Psych Medical Associates Pc NPPES

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

SOUTHERN COAST PSYCH MEDICAL ASSOCIATES PC (NPI 1467269068) is a healthcare organization registered as a community/behavioral health in Hemet, California and active in the NPI registry since December 2024. The organization maintains a secondary practice location in El Cajon and lists Jenifer Buckley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467269068
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHERN COAST PSYCH MEDICAL ASSOCIATES PC
Location Address903 E DEVONSHIRE AVE STE EHemet, CA 92543-3097
Mailing Address33175 Temecula Pkwy, Suite A-121Temecula, CA 92592-7310 · (951) 322-4532 · Fax (844) 314-9910
Phone(951) 322-4532
Fax(844) 314-9910
Organization SubpartNo
Authorized OfficialJenifer BuckleyExecutive Director · (957) 466-7733
Enumeration DateDecember 17, 2024
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1467269068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
903 E DEVONSHIRE AVE STE E, Hemet, CA 92543
Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 E Chase AveEl Cajon, CA 92020-6305 · Phone (951) 322-4532 · Fax (844) 314-9910

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Coast Psych Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Coast Psych Medical Associates PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

David Hamilton, PMHNP
Nurse Practitioner
NPI 1235969486
1902 ORANGE TREE LN STE 200
Redlands, CA 92374
(909) 798-6200
✔ PECOS26 mi
Erick Nunez
Clinical Social Worker
NPI 1174883946
772 W 19TH ST
San Bernardino, CA 92405
(213) 375-5028
✔ PECOS33 mi
Collins Ikueze, DNP
Nurse Practitioner
NPI 1881400893
446 ALTA RD
San Diego, CA 92158
(619) 671-4400
✔ PECOS80 mi
Gayane Avagimian, PMHNP
Nurse Practitioner
NPI 1154171106
12215 VICTORY BLVD
North Hollywood, CA 91606
(213) 219-5063
✔ PECOS88 mi
Sam Moss, MD
Psychiatry
NPI 1922462662
806 S DOUGLAS RD STE 625
Coral Gables, FL 33134
(305) 484-4543
✔ PECOS2,261 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Coast Psych Medical Associates PC's NPI number?

The NPI number for Southern Coast Psych Medical Associates PC is 1467269068. It was assigned to this organization in the NPPES registry on December 17, 2024.

Where is Southern Coast Psych Medical Associates PC located?

Southern Coast Psych Medical Associates PC is located at 903 E Devonshire Ave Ste E, Hemet, CA 92543. The listed phone number is (951) 322-4532.

What is Southern Coast Psych Medical Associates PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Southern Coast Psych Medical Associates PC enrolled in Medicare?

Yes. Southern Coast Psych Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Coast Psych Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Coast Psych Medical Associates PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Coast Psych Medical Associates PC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.