Individual provider Active NPI

Johanna Sanai Tavarez Valdivia

  • Addiction (Substance Use Disorder) Counselor
  • La Mesa, CA
National Provider Identifier
1598671984
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
F5734671 Issued in CA
Practice address
4990 Williams Ave
La Mesa, CA 91942-7409
Phone
(619) 668-4200
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X F5734671 CA Primary

Addresses

Primary practice location

4990 Williams Ave
La Mesa, CA 91942-7409

Mailing address

3732 Boston Ave
San Diego, CA 92113-3217
Phone (619) 668-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1598671984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 BOSTON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133217",
            "telephone_number": "619-668-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 WILLIAMS AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427409",
            "telephone_number": "619-668-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ VALDIVIA",
        "first_name": "JOHANNA",
        "middle_name": "SANAI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "F5734671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.