Vanessa Tan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124217 Issued in CA

Practice address

3911 Cleveland Ave Unit 3541
San Diego, CA 92103-3402

Phone

(619) 752-0165

NPI assigned

Oct 11, 2017

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Vulnerable Wolf a Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1801619580
  NPD Authorized official
• The Soul Care House: Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1104282300
  NPD (past)
• Fairfax Neonatal Associates, LLC

  • Neonatal-Perinatal Medicine Physician
  • Fairfax, VA
  • NPI 1821055609
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1093225419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CLEVELAND AVE UNIT 3541",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033402",
            "telephone_number": "619-752-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CLEVELAND AVE UNIT 3541",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033402",
            "telephone_number": "619-752-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Tan, LVN
• Nathaniel Tan
• Raymond Tan, PHARMACIST
• Raymond Enriquez Tan, RN
• Tatiana Amanda Tan
• Victor Tan
• Zehui Tan, M.D.
• Kathryn Sanae Tanabe, FNP
• Tomoko Tanabe, M.D.
• Barbara Hitomi Tanaka, NURSE PRACTITIONER

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.