Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NAOMI R MIDURA PSYD
NPI 1699199893
Psychologist - Clinical in San Diego, CA

Active since February 07, 2014PECOS Enrolled
12264 EL CAMINO REAL STE 203, SAN DIEGO, CA 92130(858) 279-1223 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Apr 30, 2024, Apr 17, 2024 and 3 more (6 updates tracked since 2023).

About Naomi R Midura Psyd NPPES

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

NAOMI R MIDURA PSYD (NPI 1699199893) is an individual clinical provider in San Diego, California, licensed in California (37014) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Cajon, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699199893
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNAOMI R MIDURACredential: PSYD
Location Address12264 EL CAMINO REAL STE 203San Diego, CA 92130-3061
Mailing Address12264 El Camino Real Ste 203San Diego, CA 92130-3061
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 7, 2014
Last NPPES UpdateOctober 30, 20266 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1699199893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 37014
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 52946 (CA)
12264 EL CAMINO REAL STE 203, San Diego, CA 92130

Secondary Practice Location 1

Location 11600 N Cuyamaca StEl Cajon, CA 92020-1109 · Phone (619) 994-7860

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

Naomi R Midura Psyd 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.

PECOS PAC ID2264872837
PECOS Enrollment IDI20240430000814
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Naomi Midura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Marriage & Family Therapist
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Psychologist (Clinical)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Social Worker (Clinical)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Marriage & Family Therapist
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Social Worker (Clinical)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130
Social Worker (Clinical)
12264 EL CAMINO REAL STE 203
SAN DIEGO, CA 92130

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 Naomi Midura's NPI number?

The NPI number for Naomi Midura is 1699199893. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Naomi Midura located?

Naomi Midura practices at 12264 El Camino Real Ste 203, San Diego, CA 92130. The listed phone number is (858) 279-1223.

What is Naomi Midura's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Naomi Midura enrolled in Medicare?

Yes. Naomi Midura 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 organization bills Medicare for Naomi Midura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Midura reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The 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 Naomi Midura'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 Naomi Midura was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.