Individual provider Active NPI

Rand Palomino, PHD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1902392327
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23458 Issued in CA
Practice address
3734 6TH Ave
San Diego, CA 92103-4317
Phone
(619) 354-7400
Fax
(619) 574-6964
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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 PSY23458 CA Primary

Addresses

Primary practice location

3734 6TH Ave
San Diego, CA 92103-4317

Mailing address

9311 Mesa Vista Ave
La Mesa, CA 91941-4248
Phone (619) 337-3718

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
I20260223001488 CA Practitioner - Clinical Psychologist 5496236044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
San Diego, CA 92163

PO Box
Suite 33508
San Diego, CA 92163-3508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23458CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Psychological Associates, PC CurrentSince Jul 3, 2022 Accepting new patients
Hillcrest Psychological Associates, PC CurrentSince Nov 23, 2025 Accepting new patients

Locations

3734 6th Ave
San Diego, CA 92103
Phone (619) 354-7400

Organizations & group practices 2

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1902392327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 MESA VISTA AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414248",
            "telephone_number": "619-337-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034317",
            "telephone_number": "619-354-7400",
            "fax_number": "619-574-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "RAND",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.