NPIMap

Organization Active NPI

Tradition One

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1013031541
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370012AN Issued in CA
Legal business name
TRADITION ONE
Practice address
4104 Delta St
San Diego, CA 92113-4113
Phone
(619) 264-0141
Fax
(619) 264-7274
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamara Denise ParkerNPI 1114811700
Title
Board of Director-President
Phone
(619) 490-7703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 370012AN CA Primary

Addresses

Primary practice location

4104 Delta St
San Diego, CA 92113-4113

Mailing address

4104 Delta St
San Diego, CA 92113-4113
Phone (619) 264-0141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1013031541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 DELTA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134113",
            "telephone_number": "619-264-0141",
            "fax_number": "619-264-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 DELTA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134113",
            "telephone_number": "619-264-0141",
            "fax_number": "619-264-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITION ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "BOARD OF DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "619-490-7703"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370012AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.