DR. VIKTOR YETIMOVICH KAGAN
NPI 1700821410
Psychologist - Clinical in San Diego, CA

Active since June 17, 2006
4715 VIEWRIDGE AVE, 230, SAN DIEGO, CA 92123(800) 257-8715(800) 819-1655 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Viktor Yetimovich Kagan NPPES

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

DR. VIKTOR YETIMOVICH KAGAN (NPI 1700821410) is an individual clinical provider in San Diego, California, licensed in Texas (32375) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700821410
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VIKTOR YETIMOVICH KAGAN
Location Address4715 VIEWRIDGE AVE, 230San Diego, CA 92123-1658
Mailing AddressPo Box 835062Richardson, TX 75083-5062 · (214) 796-8765
Fax(800) 819-1655
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 9, 2007
NPI 1700821410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TX · 32375
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.
4715 VIEWRIDGE AVE, San Diego, CA 92123

Other Identifiers 6

Other86918ATX · Blue Cross Blue Shield
Medicare ID-Type Unspecified8C0947TX · Dallas County
Medicare ID-Type Unspecified8B9493TX · All Other Counties
Medicaid168675002TX
OtherP00140372TX · Rail Road
Medicaid168675001TX

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.

Psychologist (Clinical)
4715 VIEWRIDGE AVE, SUITE 230
SAN DIEGO, CA 92123
Social Worker (Clinical)
4715 VIEWRIDGE AVE, SUITE 230
SAN DIEGO, CA 92123
Psychologist (Clinical)
4715 VIEWRIDGE AVE, STE 230
SAN DIEGO, CA 92123
Psychologist (Clinical)
4715 VIEWRIDGE AVE, SUITE 230
SAN DIEGO, CA 92123
Psychologist (Clinical)
4715 VIEWRIDGE AVE, SUITE 230
SAN DIEGO, CA 92123
Psychologist (Clinical)
4715 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Nurse Practitioner (Gerontology)
4715 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Psychologist (Clinical)
4715 VIEWRIDGE AVE, STE 230
SAN DIEGO, CA 92123

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 Viktor Kagan's NPI number?

The NPI number for Viktor Kagan is 1700821410. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Viktor Kagan located?

Viktor Kagan practices at 4715 Viewridge Ave 230, San Diego, CA 92123. The listed phone number is (800) 257-8715.

What is Viktor Kagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Viktor Kagan was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.