Individual provider Active NPI

Baya Leyla Sidi-Ali-Mebarek, PSY.D.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1407175300
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48379 Issued in CA
Practice address
11772 Sorrento Valley Rd
Suite 157
San Diego, CA 92121-1015
Phone
(858) 337-9884
Fax
(858) 776-6168
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 48379 CA Primary

Addresses

Primary practice location

11772 Sorrento Valley Rd
Suite 157
San Diego, CA 92121-1015

Mailing address

PO Box 13102
La Jolla, CA 92039-3102
Phone (858) 337-9884

Other names 1

  • Dr. Baya Leyla Mebarek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 8, 2024 through Feb 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48379CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1407175300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920393102",
            "telephone_number": "858-337-9884",
            "fax_number": "858-755-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11772 SORRENTO VALLEY RD",
            "address_2": "SUITE 157",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211015",
            "telephone_number": "858-337-9884",
            "fax_number": "858-776-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDI-ALI-MEBAREK",
        "first_name": "BAYA",
        "middle_name": "LEYLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAYA",
            "last_name": "MEBAREK",
            "middle_name": "LEYLA",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.