DR. NATALIE ELVITA KURNIADI PHD
NPI 1477808137
Clinical Neuropsychologist in San Diego, CA
About Dr. Natalie Elvita Kurniadi Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATALIE ELVITA KURNIADI PHD (NPI 1477808137) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY32552) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan Capistrano, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Natalie Elvita Kurniadi Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Natalie Kurniadi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92110
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Pacific Neurobehavioral Clinic Inc
- 10 clinicians in this Medicare group
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
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 Natalie Kurniadi's NPI number?
The NPI number for Natalie Kurniadi is 1477808137. It was assigned to this individual provider in the NPPES registry on July 19, 2012.
Where is Natalie Kurniadi located?
Natalie Kurniadi practices at 3990 Old Town Ave Ste C303, San Diego, CA 92110. The listed phone number is (858) 964-0722.
What is Natalie Kurniadi's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Natalie Kurniadi enrolled in Medicare?
Yes. Natalie Kurniadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Natalie Kurniadi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Kurniadi reassigns Medicare benefits to 2 organizations: Pacific Neurobehavioral Clinic: A Psychological Corporation (San Diego, CA) and Joanne M. Hamilton Psychologist A Professional Corporation (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Natalie Kurniadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Natalie Kurniadi was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Natalie Elvita Kurniadi, PHD · NPI 1477808137
Clinical Neuropsychologist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since July 19, 2012.
## Identity
- **NPI:** 1477808137 (Entity type: Individual)
- **Enumerated:** July 19, 2012
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** PSY32552 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 OLD TOWN AVE STE C303, San Diego, CA 92110-2932
- **Phone:** (858) 964-0722 · **Fax:** (866) 437-0375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pacific Neurobehavioral Clinic: A Psychological Corporation (NPI 1952724817, San Diego, CA); Joanne M. Hamilton Psychologist A Professional Corporation (NPI 1144428467, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477808137) · Data from the CMS NPPES public registry.