Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MISS TRACY R KURANAKA MD
NPI 1619930542
Psychiatry & Neurology - Addiction Psychiatry in La Jolla, CA

Active since April 11, 2006
4225 EXECUTIVE SQUARE, #1130, LA JOLLA, CA 92037(858) 455-9712(858) 655-9703 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Tracy R Kuranaka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TRACY R KURANAKA MD (NPI 1619930542) is an individual addiction psychiatry provider in La Jolla, California, licensed in California (A75170) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1619930542
Entity TypeIndividualFemale
Primary Taxonomy2084P0802X
Provider Legal NameMISS TRACY R KURANAKACredential: MD
Location Address4225 EXECUTIVE SQUARE, #1130La Jolla, CA 92037
Mailing Address4225 Executive Square, #1130La Jolla, CA 92037 · (858) 455-9712 · Fax (858) 655-9703
Fax(858) 655-9703
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1619930542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License Licensed in CA · A75170
Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

4225 EXECUTIVE SQUARE, La Jolla, CA 92037

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4225 EXECUTIVE SQUARE, SUITE 1110
LA JOLLA, CA 92037
Durable Medical Equipment & Medical Supplies
4225 EXECUTIVE SQUARE, STE 600 UNIT 31
LA JOLLA, CA 92037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619930542, enumerated as an "individual" on April 11, 2006.

The provider is located at 4225 EXECUTIVE SQUARE #1130 LA JOLLA, CA 92037 and the phone number is (858) 455-9712.

Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.