Giniena Tan, LEP, PPS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4046 Issued in CA

Practice address

2235 Encinitas Blvd Ste 108
Encinitas, CA 92024-4356

Phone

(760) 704-8345

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1548944382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 ENCINITAS BLVD. STE. 108",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "858-245-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 ENCINITAS BLVD STE 108",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244356",
            "telephone_number": "760-704-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "GINIENA",
        "name_prefix": "Mrs.",
        "credential": "LEP, PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "4046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atsuhiko Takizawa, PHARM.D
• Talky Tots
• Catherine Y. Tan, O.D.
• Charity L Tan, N.P.
• Connie Tan, O.D.
• Michelle Tang, PHARM.D.
• Alan Tanitsky
• Diana Tannous
• Richard John Tannyhill Jr., D.D.S.
• Michael M. Tarighati, D.M.D.

• Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.