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JUAN PONCE LCSW
NPI 1649695479
Social Worker - Clinical in Santa Clara, CA

Active since March 03, 2014PECOS Enrolled
3490 THE ALAMEDA, SANTA CLARA, CA 95050(408) 243-0222 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Juan Ponce Lcsw NPPES

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

JUAN PONCE LCSW (NPI 1649695479) is an individual clinical provider in Santa Clara, California, licensed in California (108808) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1649695479
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUAN PONCECredential: LCSW
Location Address3490 THE ALAMEDASanta Clara, CA 95050-4333
Mailing Address3490 The AlamedaSanta Clara, CA 95050-4333 · (408) 243-0222
Phone(408) 243-0222
Sole ProprietorNo
Enumeration DateMarch 3, 2014
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1649695479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 108808
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3490 THE ALAMEDA, Santa Clara, CA 95050
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Secondary Practice Location 1

Location 12201 Mission AveOceanside, CA 92058-2313 · Phone (760) 826-2026

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Ponce Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Juan Ponce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc
412 mi
Federally Qualified Health Center (FQHC)
3705 MISSION BLVD
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1386689701 (619) 515-2444

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 95050 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
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 20

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

RICHARD GRANT MUIR M.A.
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
LAURA DANIELA MARTINEZ
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
MICHELLE ALBANESE PETTENGILL ASW
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
DAISY C CORRAL
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
PAMELA ELIZABETH NELSON
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 278-2564
JESSA GAGARIN
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
KYUNGJIN KANG
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
ANGELIQUE ZAVALA
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222

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 Juan Ponce's NPI number?

The NPI number for Juan Ponce is 1649695479. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Where is Juan Ponce located?

Juan Ponce practices at 3490 The Alameda, Santa Clara, CA 95050. The listed phone number is (408) 243-0222.

What is Juan Ponce's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Juan Ponce enrolled in Medicare?

Yes. Juan Ponce is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juan Ponce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Ponce reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The 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 Juan Ponce'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 Juan Ponce was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.