Individual provider Active NPI

Liana Delikyan, PSY.D.

  • Clinical Psychologist
  • San Pedro, CA
National Provider Identifier
1447294194
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19365 Issued in CA
Practice address
2403 S Moray Ave
Suite 1
San Pedro, CA 90732-4342
Phone
(310) 519-9011
Fax
(310) 519-9012
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19365 CA Primary

Addresses

Primary practice location

2403 S Moray Ave
Suite 1
San Pedro, CA 90732-4342

Mailing address

2403 S. Moray Ave
Suite 1
San Pedro, CA 90732-4352
Phone (310) 519-9011

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002189 CA Practitioner - Clinical Psychologist 2466519228 Practice locations: San Pedro, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2403 S Moray Ave
San Pedro, CA 90732-4327
Phone (310) 519-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19365CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447294194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S. MORAY AVE",
            "address_2": "SUITE 1",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324352",
            "telephone_number": "310-519-9011",
            "fax_number": "310-519-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S MORAY AVE",
            "address_2": "SUITE 1",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324342",
            "telephone_number": "310-519-9011",
            "fax_number": "310-519-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIKYAN",
        "first_name": "LIANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.