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DR. OMAR KHDER PH.D.
NPI 1730055260
Psychologist - Clinical in San Diego, CA

Active since October 13, 2025PECOS Enrolled
3517 CAMINO DEL RIO S STE 302, SAN DIEGO, CA 92108(619) 996-3195 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Omar Khder Ph.d. NPPES

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

DR. OMAR KHDER PH.D. (NPI 1730055260) is an individual clinical provider in San Diego, California, licensed in California (PSB94028362) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730055260
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. OMAR KHDERCredential: PH.D.
Location Address3517 CAMINO DEL RIO S STE 302San Diego, CA 92108-4029
Mailing Address1441 N AveNational City, CA 91950-4824 · (619) 829-5970
Phone(619) 996-3195
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1730055260 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 CA · PSB94028362
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.
3517 CAMINO DEL RIO S STE 302, San Diego, CA 92108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Khder Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779064605
PECOS Enrollment IDI20260227002033
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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 17

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

RUBY ESTHER NEGRETE PSY.D.
Psychologist
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
JEAN KAY STAPP PHD
Psychologist (Clinical)
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
SARAH CHUN PHD
Psychologist (Clinical)
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (206) 465-8874
HOSANNA JOY BONN PSYD
Psychologist
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
DR. MADELINE REED PSY.D.
Psychologist
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
HEIDI RAE JOHNSTON MA
Marriage & Family Therapist
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
KATHERINE P LYDECKER PHD
Counselor (Mental Health)
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195
MS. BRIANA DARBY WAGNER MFT
Marriage & Family Therapist
3517 CAMINO DEL RIO S STE 302
SAN DIEGO, CA 92108
San Diego County (619) 996-3195

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 Omar Khder's NPI number?

The NPI number for Omar Khder is 1730055260. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Omar Khder located?

Omar Khder practices at 3517 Camino Del Rio S Ste 302, San Diego, CA 92108. The listed phone number is (619) 996-3195.

What is Omar Khder's specialty?

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

Is Omar Khder enrolled in Medicare?

Yes. Omar Khder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omar Khder was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.