Healthcare Provider Details

I. General information

NPI: 1467850776
Provider Name (Legal Business Name): ASTRA MAESTAS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-2932
US

IV. Provider business mailing address

750 B ST STE 2870
SAN DIEGO CA
92101-8132
US

V. Phone/Fax

Practice location:
  • Phone: 619-722-0014
  • Fax: 619-327-4174
Mailing address:
  • Phone: 619-722-0014
  • Fax: 619-327-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number26666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: