MEDICARE: EN GEDI BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1023960069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EN GEDI BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	40960 CALIFORNIA OAKS RD # 1030
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92562-5747
Country	:	US
Telephone Number	:	951-704-6779
Fax Number	:	951-813-2508

Provider Business Practice Location Address
First Line	:	29995 TECHNOLOGY DR STE 203
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-2633
Country	:	US
Telephone Number	:	951-704-6779
Fax Number	:	951-813-2508

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KELEIGH JEFFERSON
Credential	:	PMHNP-BC
Telephone Number	:	951-704-6779

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1154399954 — LAURIE BLANSCET DO
Practice Location Address:

29995 TECHNOLOGY DR STE 201
MURRIETA, CA
92563-2633

Practice Phone: 951-461-3021
Practice Fax: 951-461-8898

1588850630 — MISS NISHANA R CLARKE M.S., MFT
Practice Location Address:

29995 TECHNOLOGY DR STE 103
MURRIETA, CA
92563-2633

Practice Phone: 951-252-6083
Practice Fax: 951-800-8164

1295058469 — MEGAN M. SPRAGUE M.S., B.C.B.A.
Practice Location Address:

29995 TECHNOLOGY DR STE 102
MURRIETA, CA
92563-2633

Practice Phone: 951-297-2520
Practice Fax:

1740591825 — MRS. CECILIA MARGARITA MATHEWS
Practice Location Address:

29995 TECHNOLOGY DR STE 103
MURRIETA, CA
92563-2633

Practice Phone: 951-255-3409
Practice Fax: 951-244-5770

1639487374 — ELISABETH INOMAA-BUSTILLOS
Practice Location Address:

29995 TECHNOLOGY DR STE 103
MURRIETA, CA
92563-2633

Practice Phone: 323-302-1564
Practice Fax:

1750655668 — DR. JOANNA AYALA MD
Practice Location Address:

29995 TECHNOLOGY DR STE 202
MURRIETA, CA
92563-2633

Practice Phone: 818-370-6581
Practice Fax: 951-696-1113

Directions to “EN GEDI BEHAVIORAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.