Active NPI
Roberto Demian Luna, PSY.D
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1780036368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29183
- Practice address
- 9500 Gilman Drive #0304
University of California San Diego
San Diego, CA 92093-0304 - Phone
- (858) 534-3755
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29183 | CA | Primary |
Addresses
Primary practice location
9500 Gilman Drive #0304
University of California San Diego
San Diego, CA 92093-0304
Mailing address
9500 Gilman Drive #0304
University of California San Diego
San Diego, CA 92093-0304
Phone (858) 534-3755
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 |
|---|---|---|---|
| PSY29183 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenmar Psychological Services PC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Encinitas, CA
- NPI 1376320259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1780036368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DRIVE #0304",
"address_2": "UNIVERSITY OF CALIFORNIA SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "920930304",
"telephone_number": "858-534-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DRIVE #0304",
"address_2": "UNIVERSITY OF CALIFORNIA SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "920930304",
"telephone_number": "858-534-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "ROBERTO",
"middle_name": "DEMIAN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29183",
"primary": true
}
],
"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 Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.