Active NPI
Rebecca M Luna, PSYD
- Psychologist
- San Diego, CA
National Provider Identifier
1700456670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1001721
- Practice address
- 4075 Park Blvd Ste 102-193
San Diego, CA 92103-2670 - Phone
- (619) 354-8869
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1001721 | DC | Primary |
| Psychologist | 103T00000X | PSY32682 | CA |
Addresses
Primary practice location
4075 Park Blvd Ste 102-193
San Diego, CA 92103-2670
Mailing address
4075 Park Blvd Ste 102-193
San Diego, CA 92103-2670
Phone (619) 729-0767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001721 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1700456670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 PARK BLVD STE 102-193",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032670",
"telephone_number": "619-729-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 PARK BLVD STE 102-193",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032670",
"telephone_number": "619-354-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "REBECCA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001721",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY32682",
"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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.