Active NPI
Vanessa Tam
- Counselor
- La Jolla, CA
National Provider Identifier
1013600980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17117
- Practice address
- 7855 Fay Ave
La Jolla, CA 92037-4265 - Phone
- (619) 953-7484
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17117 | CA | Primary |
Addresses
Primary practice location
7855 Fay Ave
La Jolla, CA 92037-4265
Mailing address
700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone (619) 441-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17117 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1013600980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N JOHNSON AVE STE P",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202589",
"telephone_number": "619-441-1907",
"fax_number": "619-441-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 FAY AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374265",
"telephone_number": "619-953-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "VANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "17117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.