Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nathan Ewigman

Individual provider Clinical Psychologist · NPI 1104298603

Dr. Nathan Ewigman is a Clinical Psychologist in San Bruno, California. Qualified in 2014, 12 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015

Practice location Address checks out

1001 Sneath Ln
San Bruno, CA 94066-2308
Phone: (650) 615-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 27570 (CA)

Record details

NPI number1104298603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2015
Last updated in NPPESOctober 22, 2015
Mailing address812 Jefferson Ct, San Mateo, CA 94401-5228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Bruno