Active NPI
John David Mingo, PSYD
- Psychologist
- San Diego, CA
National Provider Identifier
1437593456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25443
- Practice address
- 16466 Bernardo Center Dr Ste 275
San Diego, CA 92128-2567 - Phone
- (619) 318-8250
- Fax
- (858) 524-6152
- NPI assigned
- Apr 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25443 | CA | Primary |
Addresses
Primary practice location
16466 Bernardo Center Dr Ste 275
San Diego, CA 92128-2567
Mailing address
10866 Poblado Rd Apt 1121
San Diego, CA 92127-1360
Phone (619) 318-8250
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141121000792 | CA | Practitioner - Clinical Psychologist | 9830312586 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16466 Bernardo Ctr Dr
San Diego, CA 92128-2567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1437593456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10866 POBLADO RD APT 1121",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271360",
"telephone_number": "619-318-8250",
"fax_number": "858-524-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16466 BERNARDO CENTER DR STE 275",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282567",
"telephone_number": "619-318-8250",
"fax_number": "858-524-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGO",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-21",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "25443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Jeramiah David Minera
- Arnold Ming
- Heather Lynn Minger, PHARMD
- Mingi Kim DDS, Inc
- Alexis Mingo-Terry
- Christopher Stephen Mingrone, M.D.
- Minh B Pham Dental Corporation (PB Smiles Dentistry Dental Group)
- Minh B. Pham D.D.S. Inc. (Clairemont Smiles Dentistry and Orthodontics Dental Group)
- Minh Pham and Diana DO Dental Corporation (East Village Dental Group)
- Bethany Minick, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.