Active NPI
Robin Beltran, PH.D.
- Health Psychologist
- San Diego, CA
National Provider Identifier
1699009860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PSY20774
- Practice address
- 3356 2ND Ave Ste a
San Diego, CA 92103-5636 - Phone
- (619) 964-1959
- Fax
- (619) 298-1478
- NPI assigned
- Sep 21, 2009
- Last updated
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PSY20774 | CA | Primary |
Addresses
Primary practice location
3356 2ND Ave Ste a
San Diego, CA 92103-5636
Mailing address
3356 2ND Ave Ste a
San Diego, CA 92103-5636
Phone (619) 964-1959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY20774 | Other | CA | CALIFORNIA BOARD OF PSYCHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 5, 2023 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20774 | CA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1699009860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 2ND AVE STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035636",
"telephone_number": "619-964-1959",
"fax_number": "619-298-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 2ND AVE STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035636",
"telephone_number": "619-964-1959",
"fax_number": "619-298-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY20774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PSYCHOLOGY",
"identifier": "PSY20774",
"state": "CA"
}
],
"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 Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.