Isaac Ty Little

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1545080124 Issued in CA

Practice address

12781 Josephine St
Garden Grove, CA 92841-4622

Phone

(657) 251-0503

NPI assigned

May 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1083454425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 FAIRVIEW RD APT E201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264124",
            "telephone_number": "360-301-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 JOSEPHINE ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414622",
            "telephone_number": "657-251-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ISAAC",
        "middle_name": "TY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1545080124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lin, D.C.
• Brenna Lindleaf
• Carey Denice Lindsay, M.A. CCC-SLP
• Carson Hing-Ka Ling, MD
• Linh Khanh Lipham
• Aniyah Littlejohn, BCAT
• Gary Gang Liu, DMD
• Karen Liu
• Norman Hontin Liu, M.D.
• Lori L Livingston

• Addiction (Substance Use Disorder) Counselor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.