MEDICARE: DR. RHODA CARINO DIOKNO PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	103T00000X	Psychologist	28073	CA
3	103TC0700X	Clinical Psychologist	PSY28073	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28073	OTHER	CA	LIC

General Provider Information

NPI Number	:	1629109483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHODA CARINO DIOKNO PSY.D.

Provider Business Mailing Address
First Line	:	2356 REO DR # 390321
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92139-3024
Country	:	US
Telephone Number	:	619-736-4165
Fax Number	:

Provider Business Practice Location Address
First Line	:	2356 REO DR # 390321
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92139-3024
Country	:	US
Telephone Number	:	619-736-4165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	09/22/2025

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