Individual provider Active NPI

Thomas Hunter Siggins, ACSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1154933018
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108218 Issued in CA
Practice address
5252 Balboa Ave Ste 408
San Diego, CA 92117-6939
Phone
(858) 333-6856
Fax
(858) 999-2014
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 108218 CA Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 408
San Diego, CA 92117-6939

Mailing address

5252 Balboa Ave Ste 408
San Diego, CA 92117-6939
Phone (858) 333-6856

Other names 1

  • Tommy Siggins Other 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

State licenses

LicenseStateTypeSpecialty
108218CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1154933018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 408",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176939",
            "telephone_number": "858-333-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 408",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176939",
            "telephone_number": "858-333-6856",
            "fax_number": "858-999-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGGINS",
        "first_name": "THOMAS",
        "middle_name": "HUNTER",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMMY",
            "last_name": "SIGGINS",
            "code": "5",
            "type": "Other 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 22, 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.