Individual provider Active NPI

Aaron Michael Desuacido, MA

  • Psychologist
  • Santa Cruz, CA
National Provider Identifier
1992470793
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36438 Issued in CA
Practice address
777 Chestnut St
Santa Cruz, CA 95060-3751
Phone
(831) 275-5286
NPI assigned
Aug 12, 2021
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36438 CA Primary

Addresses

Primary practice location

777 Chestnut St
Santa Cruz, CA 95060-3751

Mailing address

777 Chestnut St
Santa Cruz, CA 95060-3751
Phone (831) 275-5286

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
36438CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1992470793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-275-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-275-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESUACIDO",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.