Individual provider Active NPI

Eli Matthew Van Dusen, PSY D, LMFT, LAADC

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1518126010
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32823 Issued in CA
Practice address
7742 Herschel Ave Ste K
La Jolla, CA 92037-4444
Phone
(760) 278-1453
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32823 CA Primary
Marriage & Family Therapist 106H00000X 53932 CA

Addresses

Primary practice location

7742 Herschel Ave Ste K
La Jolla, CA 92037-4444

Mailing address

39583 Caladium Dr
Temecula, CA 92591-0363
Phone (760) 278-1453

Other practice location 1

30777 Rancho California Rd
Temecula, CA 92591-3209
Phone (760) 278-1456

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
I20211101000092 CA Practitioner - Clinical Psychologist 2769870385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53932CAMDMarriage & Family Therapist
32823CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Check Psychological Services, a Professional Corporation Clinical CurrentSince Nov 1, 2021 Accepting new patients
Eye Institute of California Medical Group Inc PastSince Apr 5, 2022 Accepting new patients
Robert Zalewski-Zaragoza, MD, Inc Past Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Organizations & group practices 3

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1518126010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39583 CALADIUM DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925910363",
            "telephone_number": "760-278-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 HERSCHEL AVE STE K",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374444",
            "telephone_number": "760-278-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30777 Rancho California Rd",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925913209",
            "country_code": "US",
            "telephone_number": "760-278-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "ELI",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PSY D, LMFT, LAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32823",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.