Active NPI
Tianda Deng
- Professional Counselor
- Redlands, CA
National Provider Identifier
1396615753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC21076
- Practice address
- 1902 Orange Tree LN Ste 200
Redlands, CA 92374-2800 - Phone
- (909) 798-6200
- Fax
- (909) 798-6210
- NPI assigned
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC21076 | CA | Primary |
Addresses
Primary practice location
1902 Orange Tree LN Ste 200
Redlands, CA 92374-2800
Mailing address
1902 Orange Tree LN Ste 200
Redlands, CA 92374-2800
Phone (909) 798-6200
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC21076 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1396615753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 ORANGE TREE LN STE 200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742800",
"telephone_number": "909-798-6200",
"fax_number": "909-798-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 ORANGE TREE LN STE 200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742800",
"telephone_number": "909-798-6200",
"fax_number": "909-798-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENG",
"first_name": "TIANDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC21076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- 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.