Gregory Alan Nelson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 12389 Issued in CA

Practice address

1617 S PCH Hwy
Suite F
Redondo Beach, CA 90277-5612

Phone

(310) 540-2061

Fax

(310) 540-8550

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497757538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S PCH HWY",
            "address_2": "SUITE F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775612",
            "telephone_number": "310-540-2061",
            "fax_number": "310-540-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S PCH HWY",
            "address_2": "SUITE F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775612",
            "telephone_number": "310-540-2061",
            "fax_number": "310-540-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 12389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Garcia Navarro, MD
• Frank John Navratil Jr., DC
• Nelson Chiropractic Corporation (Inside Out Chiropractic)
• Alessandro Nelson
• Anne-Karin Nelson, LMFT
• Faith Elizabeth Neuberger
• Neuropraxis
• Susannah Nevarez, MT-BC
• Paul Anthony Newhouse, L.AC., M.S.
• Danny Khang Huy Ngo, O.D.

• Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.