Active NPI
Austin Dezmund Alvarez, PSYD
- Psychologist
- San Diego, CA
National Provider Identifier
1386513851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY36156
- Practice address
- 1243 Manzana Way
San Diego, CA 92139-1441 - Phone
- (760) 885-8023
- NPI assigned
- Nov 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY36156 | CA | |
| Exercise & Sports Psychologist | 103TE1100X | PSY36156 | CA | |
| Psychologist | 103T00000X | PSY36156 | CA | Primary |
Addresses
Primary practice location
1243 Manzana Way
San Diego, CA 92139-1441
Mailing address
1243 Manzana Way
San Diego, CA 92139-1441
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY36156 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1386513851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 MANZANA WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921391441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 MANZANA WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921391441",
"telephone_number": "760-885-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "AUSTIN",
"middle_name": "DEZMUND",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY36156",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "CA",
"license": "PSY36156",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY36156",
"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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.