Individual provider Active NPI

Joseph Ignacio Pando, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1447419775
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27338 Issued in CA
Practice address
8765 Aero Dr
Suite 221
San Diego, CA 92123-1781
Phone
(831) 596-6817
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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 27338 CA Primary

Addresses

Primary practice location

8765 Aero Dr
Suite 221
San Diego, CA 92123-1781

Mailing address

8765 Aero Dr
Suite 221
San Diego, CA 92123-1781
Phone (831) 596-6817

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
I20151117000535 CA Practitioner - Clinical Psychologist 2163732496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4909 Murphy Canyon Rd
Suite 300
San Diego, CA 92123-4301
Phone (858) 268-9800

8765 Aero Dr
Suite 221
San Diego, CA 92123-1767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Counseling, a Psychological Corporation CurrentSince Jan 1, 2017 Accepting new patients
Djri Health Inc PastSince Aug 1, 2015 Accepting new patients

Locations

4909 Murphy Canyon Rd
Ste 300
San Diego, CA 92123
Phone (858) 268-9800

8765 Aero Dr
Ste 221
San Diego, CA 92123
Phone (619) 384-1598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1447419775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 AERO DR",
            "address_2": "SUITE 221",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231781",
            "telephone_number": "831-596-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 AERO DR",
            "address_2": "SUITE 221",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231781",
            "telephone_number": "831-596-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDO",
        "first_name": "JOSEPH",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.