Healthcare Provider Details

I. General information

NPI: 1821151648
Provider Name (Legal Business Name): ALAN RICHARD MAYFIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR. BLDG 6, 3RD FLOOR, MENTAL HEALTH
SAN DIEGO CA
92134
US

IV. Provider business mailing address

34800 BOB WILSON DR. BLDG 6, 3RD FLOOR, MENTAL HEALTH
SAN DIEGO CA
92134
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-5666
  • Fax: 619-532-5687
Mailing address:
  • Phone: 619-532-5666
  • Fax: 619-532-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberA94205
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA94205
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: