JOSHUA PAULOS LCSW96230
NPI 1871957639
Social Worker - Clinical in Alameda, CA

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1005 ATLANTIC AVE, ALAMEDA, CA 94501(510) 318-6100 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, Aug 1, 2024, Jun 6, 2024 and 3 more (6 updates tracked since 2016).

About Joshua Paulos Lcsw96230 NPPES

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

JOSHUA PAULOS LCSW96230 (NPI 1871957639) is an individual clinical provider in Alameda, California, licensed in California (LCSW96230) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871957639
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSHUA PAULOSCredential: LCSW96230
Location Address1005 ATLANTIC AVEAlameda, CA 94501-1148
Mailing Address1005 Atlantic AveAlameda, CA 94501 · (510) 318-6100 · Fax (510) 830-3318
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 7, 2016
Last NPPES UpdateNovember 12, 20246 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1871957639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW96230
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.
1005 ATLANTIC AVE, Alameda, CA 94501

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

Joshua Paulos Lcsw96230 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 ID4284001124
PECOS Enrollment IDI20221104001728
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

2

Medicare enrollment records show Joshua Paulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 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 94501 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Community Health Worker
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Community/Behavioral Health
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Marriage & Family Therapist
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Day Training/Habilitation Specialist
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Psychiatry & Neurology (Psychiatry)
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Day Training/Habilitation Specialist
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Student in an Organized Health Care Education/Training Program
1005 ATLANTIC AVE
ALAMEDA, CA 94501
Marriage & Family Therapist
1005 ATLANTIC AVE
ALAMEDA, CA 94501

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 Joshua Paulos's NPI number?

The NPI number for Joshua Paulos is 1871957639. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Joshua Paulos located?

Joshua Paulos practices at 1005 Atlantic Ave, Alameda, CA 94501. The listed phone number is (510) 318-6100.

What is Joshua Paulos's specialty?

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

Is Joshua Paulos enrolled in Medicare?

Yes. Joshua Paulos 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 Joshua Paulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Paulos reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Telehealth Specialty Medical Group (Roseville, CA). 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 Joshua Paulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Paulos accept?

Health plans from Blue Cross and Blue Shield of Texas list Joshua Paulos 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 Joshua Paulos was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.