Individual provider Active NPI

Alyssa Maria Staudinger

  • Health & Wellness Coach
  • San Diego, CA
National Provider Identifier
1639712813
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
3035 Ash St
San Diego, CA 92102-1718
Phone
(619) 795-1190
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA Primary
Behavior Technician 106S00000X CA

Addresses

Primary practice location

3035 Ash St
San Diego, CA 92102-1718

Mailing address

3035 Ash St
San Diego, CA 92102-1718
Phone (619) 795-1190

Other practice location 1

458 26th St
San Diego, CA 92102-3026
Phone (619) 780-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Einstein Academies CurrentSince Sep 21, 2025 Accepting new patients

Locations

3035 Ash St
San Diego, CA 92102
Phone (310) 406-9669

458 26th St
San Diego, CA 92102
Phone (619) 234-1365

Organizations & group practices 1

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1639712813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 ASH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021718",
            "telephone_number": "619-795-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 ASH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021718",
            "telephone_number": "619-795-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 26th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921023026",
            "country_code": "US",
            "telephone_number": "619-780-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDINGER",
        "first_name": "ALYSSA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.