Ali Esfandiari, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30605 Issued in CA

Practice address

50 Rosecrans St BLDG 500
San Diego, CA 92106-4408

Phone

(619) 553-0724

NPI assigned

Nov 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1215239603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROSECRANS ST BLDG 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921064408",
            "telephone_number": "619-553-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROSECRANS ST BLDG 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921064408",
            "telephone_number": "619-553-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 B St Ste 2870",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921018132",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESFANDIARI",
        "first_name": "ALI",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004318",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Raphael Fulgencio Escudero, PA-C
• Pamela Milagros Escudero, OT
• Ronnie Jay Escudero, P.A.-C
• Christiana Lauren Eseller, COTA/L
• Dasia E Esener, MD
• Raheleh Esfandiari, M.D.
• Rambod Esfandiari, O.D.
• Kyle Bermejo Esguerra, OTR/L, OTD, CNS
• Esha Patel, DDS, MSD, Inc.
• Devin Eshelman

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.