Individual provider Active NPI

Sandra S Zuazo, PSYD

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1861979601
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34934 Issued in CA
Practice address
1355 N Mentor Ave # 40023
Pasadena, CA 91104-2425
Phone
(626) 214-5553
NPI assigned
Jul 24, 2018
Reactivated
Dec 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 34934 CA Primary

Addresses

Primary practice location

1355 N Mentor Ave # 40023
Pasadena, CA 91104-2425

Mailing address

1355 N Mentor Ave # 40023
Pasadena, CA 91104-2425
Phone (626) 214-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34934CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1861979601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N MENTOR AVE # 40023",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042425",
            "telephone_number": "626-214-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N MENTOR AVE # 40023",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042425",
            "telephone_number": "626-214-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUAZO",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "deactivation_date": "2022-09-13",
        "reactivation_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.