Raul Leon Moncayo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10680 Issued in CA

Practice address

1020 King Dr
El Cerrito, CA 94530-2755

Phone

(510) 499-0002

NPI assigned

Mar 26, 2007

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1861519514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 W SUNSET BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263262",
            "telephone_number": "510-499-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KING DR",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302755",
            "telephone_number": "510-499-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 W Sunset Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900263262",
            "country_code": "US",
            "telephone_number": "510-499-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCAYO",
        "first_name": "RAUL",
        "middle_name": "LEON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "6138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "6138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Lauren Miller, O.D.
• Sonia Mistry
• Frawn Mitchell-Simpson
• Cameron Ann Mitchell, O.D.
• Mai Mohsen
• Donna L Morton, PT
• Madeleine Mountain
• Casey Michael Mulligan, DPT
• Sara Nachowitz, MA, PPS
• Leslie Jane Nance

• Psychologist in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.