Individual provider Active NPI

Erika M. Kao, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1255369310
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20112 Issued in CA
Practice address
12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071
Phone
(858) 472-8959
NPI assigned
Jun 29, 2006
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY20112 CA
Psychologist 103T00000X PSY20112 CA
Clinical Psychologist 103TC0700X 20112 CA
Clinical Psychologist 103TC0700X PSY20112 CA Primary
Forensic Psychologist 103TF0200X PSY20112 CA

Addresses

Primary practice location

12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071

Mailing address

12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071
Phone (619) 519-2985

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

LicenseStateTypeSpecialty
20112CAMDAddiction (Substance Use Disorder) Counselor
PSY20112CAMDClinical Neuropsychologist
3471AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Kao, PHD Current Accepting new patients

Locations

12636 High Bluff Dr
Ste 400
San Diego, CA 92130
Phone (619) 992-4519

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1255369310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12636 HIGH BLUFF DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302071",
            "telephone_number": "619-519-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 HIGH BLUFF DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302071",
            "telephone_number": "858-472-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "ERIKA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20112",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20112",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20112",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20112",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY20112",
            "primary": false
        }
    ],
    "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 Jan 14, 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.

Verify at the official NPI Registry.