Individual provider Active NPI

Manuel David Tobias, PH.D.

  • Clinical Neuropsychologist
  • La Jolla, CA
National Provider Identifier
1023002136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY7320 Issued in CA
Practice address
3252 Holiday CT
Ste 227
La Jolla, CA 92037-1808
Phone
(858) 362-8779
Fax
(858) 455-5556
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7320 CA
Health Service Psychologist 103TH0100X PSY7320 CA
Psychologist 103T00000X PSY7320 CA
Clinical Neuropsychologist 103G00000X PSY7320 CA Primary

Addresses

Primary practice location

3252 Holiday CT
Ste 227
La Jolla, CA 92037-1808

Mailing address

3252 Holiday CT
Ste 227
La Jolla, CA 92037-1808
Phone (858) 362-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001628 CA Practitioner - Clinical Psychologist 2163409657 Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3252 Holiday CT
La Jolla, CA 92037-0027

3252 Holiday CT
Suite 227
La Jolla, CA 92037-1808
Phone (858) 362-8779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7320CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Neuropsychology Professional Corporation Psychologist Past Accepting new patients
Karen Bloch, MFT Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023002136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT",
            "address_2": "STE 227",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-362-8779",
            "fax_number": "858-455-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT",
            "address_2": "STE 227",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-362-8779",
            "fax_number": "858-455-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "MANUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7320",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY7320",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY7320",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY7320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.