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

Kate Diasamidze

Individual provider Clinical Neuropsychologist · NPI 1568932242

Kate Diasamidze is a Clinical Psychologist in Costa Mesa, California. Qualified in 2023, 3 years ago. Practices with Julia Evans PHD Psychology PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018

Practice location Address checks out

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone: (949) 743-1457
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 36132 (CA)

Record details

NPI number1568932242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address940 S Coast Dr Ste 225, Costa Mesa, CA 92626-7757

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Julia Evans Phd Psychology Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Costa Mesa