ALEX PACK
NPI 1376321653
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Alex Pack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEX PACK (NPI 1376321653) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95026926) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alex Pack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alex Pack's NPI number?
The NPI number for Alex Pack is 1376321653. It was assigned to this individual provider in the NPPES registry on September 19, 2023.
Where is Alex Pack located?
Alex Pack practices at 3250 Fordham St, San Diego, CA 92110. The listed phone number is (833) 574-2273.
What is Alex Pack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alex Pack enrolled in Medicare?
Yes. Alex Pack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alex Pack was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alex Pack · NPI 1376321653
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 19, 2023.
## Identity
- **NPI:** 1376321653 (Entity type: Individual)
- **Enumerated:** September 19, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95026926 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3250 FORDHAM ST, San Diego, CA 92110-5339
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376321653) · Data from the CMS NPPES public registry.