Active NPI
Edward John Giaquinto Jr., PH.D.
- Clinical Psychologist
- Woodland Hills, CA
National Provider Identifier
1992756977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY16707
- Practice address
- 22900 Ventura Blvd Ste 125
Woodland Hills, CA 91364-1283 - Phone
- (818) 618-8830
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY16707 | CA | Primary |
Addresses
Primary practice location
22900 Ventura Blvd Ste 125
Woodland Hills, CA 91364-1283
Mailing address
9909 Topanga Canyon Blvd # 176
Chatsworth, CA 91311-3602
Phone (818) 618-8830
Other practice location 1
342 W San Ysidro Blvd
Suite F
San Ysidro, CA 92173-2495
Phone (619) 662-3880
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
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16707 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Giaquinto, PH.D., Inc | Current | Accepting new patients | |
| Healthcare Providers of California Medical Group, Inc | Past | Accepting new patients | |
| Healthcare Providers of California Medical Group, Inc | Past | Accepting new patients |
Locations
22900 Ventura Blvd
Ste 125
Woodland Hills, CA 91364
Phone (818) 618-8830
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Woodland Hills, CA
- NPI 1558751743
-
- Internal Medicine Physician
- San Ysidro, CA
- NPI 1003846486
-
- Internal Medicine Physician
- Canoga Park, CA
- NPI 1376574285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1992756977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 TOPANGA CANYON BLVD # 176",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913113602",
"telephone_number": "818-618-8830",
"fax_number": "818-626-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22900 VENTURA BLVD STE 125",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641283",
"telephone_number": "818-618-8830"
}
],
"practiceLocations": [
{
"address_1": "342 W San Ysidro Blvd",
"address_2": "Suite F",
"address_purpose": "LOCATION",
"city": "San Ysidro",
"state": "CA",
"postal_code": "921732495",
"country_code": "US",
"telephone_number": "619-662-3880",
"fax_number": "619-662-2942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIAQUINTO",
"first_name": "EDWARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY16707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
- Sharareh - Ghedari, MFT LICENSED
- Joshua Arash Ghiam, DDS
- Babak Ghorbanian
- Ghorbanian, DDS, Inc (Woodland Hills Dental Specialists/Aava Dental of Woodland Hills)
- Alla Ghukasyan
- Katelyn Anne Giboney, B.C.B.A.
- Gibraltar Healthcare Supplies LLC
- Gibraltar Home Health Services, LLC
- Gibraltar Hospice Inc
- Nolan Michael Giehl, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.