Healthcare Provider Details

I. General information

NPI: 1285663104
Provider Name (Legal Business Name): JOHN ROBERT MCQUAID PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA SAN DIEGO HEALTHCARE SYSTEM (116-B) 3350 LA JOLLA VILLAGE DR.
SAN DIEGO CA
92161
US

IV. Provider business mailing address

VA SAN DIEGO HEALTHCARE SYSTEM (116-B) 3350 LA JOLLA VILLAGE DR.
SAN DIEGO CA
92161
US

V. Phone/Fax

Practice location:
  • Phone: 858-642-3693
  • Fax: 858-552-7414
Mailing address:
  • Phone: 858-642-3693
  • Fax: 858-552-7414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY14922
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: