Active NPI
David Thomas Edberg, M.D., M.A.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1205398070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A176535
- Practice address
- 8875 Aero Dr
San Diego, CA 92123-2251 - Phone
- (619) 400-5170
- Fax
- (619) 500-5154
- NPI assigned
- Apr 2, 2019
- Last updated
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A176535 | CA | Primary |
Addresses
Primary practice location
8875 Aero Dr
San Diego, CA 92123-2251
Mailing address
8875 Aero Dr
San Diego, CA 92123-2251
Phone (619) 400-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176535 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1205398070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8875 AERO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232251",
"telephone_number": "619-400-5170",
"fax_number": "619-500-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8875 AERO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232251",
"telephone_number": "619-400-5170",
"fax_number": "619-500-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDBERG",
"first_name": "DAVID",
"middle_name": "THOMAS",
"credential": "M.D., M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A176535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.