Individual provider Active NPI

Camila Isabel Zager, PSYD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1790267458
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY36521 Issued in CA
Practice address
9921 Carmel Mountain Rd Ste 204
San Diego, CA 92129-2813
Phone
(619) 880-9008
Fax
(909) 660-4997
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY36521 CA Primary

Addresses

Primary practice location

9921 Carmel Mountain Rd Ste 204
San Diego, CA 92129-2813

Mailing address

1024 Tourmaline St
San Diego, CA 92109-1834
Phone (619) 786-4847

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
I20260227000519 CA Practitioner - Clinical Psychologist 0547741530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azita Hickey PH D PsychologistGroup PAC ID 8729317078, 3 clinicians

Practice addresses (Care Compare)

2831 Camino del Rio S
Suite 103
San Diego, CA 92108-3827
Phone (619) 880-9008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY36521CAMDClinical Psychologist
36521CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Azita Hickey PH D Psychologist Clinical CurrentSince Jan 22, 2026 Accepting new patients

Locations

2831 Camino del Rio S
Ste 103
San Diego, CA 92108
Phone (619) 800-4796

9921 Carmel Mountain Rd
San Diego, CA 92129
Phone (619) 602-6351

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1790267458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 TOURMALINE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091834",
            "telephone_number": "619-786-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 CARMEL MOUNTAIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292813",
            "telephone_number": "619-880-9008",
            "fax_number": "909-660-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGER",
        "first_name": "CAMILA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.