Active NPI
Angela Irene Drake, PH.D.
- Clinical Neuropsychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY13616
- Practice address
- 34730 Bob Wilson Dr
Neurosciences Department Dvbic Naval Medical Center
San Diego, CA 92134-3201 - Phone
- (619) 532-5461
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY13616 | CA | Primary |
Addresses
Primary practice location
34730 Bob Wilson Dr
Neurosciences Department Dvbic Naval Medical Center
San Diego, CA 92134-3201
Mailing address
3023 Fried Ave
San Diego, CA 92122-2234
Phone (858) 558-0109
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4860 Y St
Sacramento, CA 95817-2307
500 University Ave
Suite 220
Sacramento, CA 95825-6525
Phone (916) 734-2011
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13616 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY13616 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
3160 Folsom Blvd
Ste 1400
Sacramento, CA 95816
Phone (916) 731-1831
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1164415238
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1992930986
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336112663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 FRIED AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222234",
"telephone_number": "858-558-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34730 BOB WILSON DR",
"address_2": "NEUROSCIENCES DEPARTMENT DVBIC NAVAL MEDICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921343201",
"telephone_number": "619-532-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "ANGELA",
"middle_name": "IRENE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY13616",
"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 Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.