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Jonathan Detrant , CMPSS

Peer Specialist • Lemon Grove, CA

Active NPI 1023904596 Individual Practitioner Male Practitioner
Practice location in NPPES

2049 Skyline Dr
Lemon Grove, CA 919454221

Call 6194420277 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2049 Skyline Dr

Lemon Grove, CA 919454221

Telephone 6194420277
Organization at the Same NPPES Address or Phone
Kiva Facility NPI 1669801981

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lemon Grove and California

8 active clinicians are listed under Peer Specialist with a practice address in Lemon Grove, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES CA MPSS-IKOPJG

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kenneth Giorgi , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1518609635

Nurse Practitioner

Career & Practice History

NPI enumerated June 13, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2025 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1023904596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2025
Last Update: June 13, 2025
Sole Proprietor: Yes

Mailing Address

1400 N Johnson Ave Ste 101

El Cajon, CA 920201651

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.