Active NPI
Lina Kogan-Sbarbaro, PHD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1003105784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31866
- Practice address
- 1050 University Ave Ste E107
San Diego, CA 92103-3359 - Phone
- (858) 504-7743
- Fax
- (858) 216-1928
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31866 | CA | Primary |
Addresses
Primary practice location
1050 University Ave Ste E107
San Diego, CA 92103-3359
Mailing address
1050 University Ave Ste E107
San Diego, CA 92103-3359
Phone (858) 504-7743
Other names 1
- Dr. Lina Kogan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31866 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Psychology Inc | Clinical | Current | Accepting new patients |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
| Community Research Foundation Inc | Past | Accepting new patients |
Locations
864 Grand Ave
San Diego, CA 92109
Phone (619) 341-9007
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1457115362
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1881717304
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651968000000",
"number": "1003105784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 UNIVERSITY AVE STE E107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033359",
"telephone_number": "858-504-7743",
"fax_number": "858-216-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 UNIVERSITY AVE STE E107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033359",
"telephone_number": "858-504-7743",
"fax_number": "858-216-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGAN-SBARBARO",
"first_name": "LINA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2022-05-08",
"certification_date": "2022-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINA",
"last_name": "KOGAN",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.