Active NPI
Stephanie Tai Lin
- Counselor
- San Diego, CA
National Provider Identifier
1386956134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10992 San Diego Mission Rd
RM 2704
San Diego, CA 92108-2444 - Phone
- (619) 641-2154
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
10992 San Diego Mission Rd
RM 2704
San Diego, CA 92108-2444
Mailing address
10992 San Diego Mission Rd
RM 2704
San Diego, CA 92108-2444
Phone (619) 641-2154
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1386956134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10992 SAN DIEGO MISSION RD",
"address_2": "RM 2704",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082444",
"telephone_number": "619-641-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10992 SAN DIEGO MISSION RD",
"address_2": "RM 2704",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082444",
"telephone_number": "619-641-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAI LIN",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.