Individual provider Active NPI

Tina Marie Hambuch-Hawks, PHD, DABMGG

  • Clinical Laboratory Director (Non-physician)
  • San Diego, CA
National Provider Identifier
1134088313
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
DRN-01014790 Issued in CA
Practice address
5111 Providence Rd
San Diego, CA 92117-1943
Phone
(949) 923-7887
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X DRN-01014790 CA Primary

Addresses

Primary practice location

5111 Providence Rd
San Diego, CA 92117-1943

Mailing address

5111 Providence Rd
San Diego, CA 92117-1943
Phone (949) 923-7887

Other names 1

  • Tina Hambuch Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DRN-01014790CAMDClinical Laboratory Director (Non-physician)

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1134088313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 PROVIDENCE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171943",
            "telephone_number": "949-923-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 PROVIDENCE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171943",
            "telephone_number": "949-923-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBUCH-HAWKS",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "PHD, DABMGG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "CA",
            "license": "DRN-01014790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "HAMBUCH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 21, 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.