Individual provider Active NPI

Paul Ian Rodriguez Tiamzon

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1679499693
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95040187 Issued in CA
Practice address
15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308
Phone
(949) 228-9607
Fax
(714) 202-8858
NPI assigned
Jun 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95040187 CA Primary

Addresses

Primary practice location

15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308

Mailing address

212 S Kraemer Blvd Unit 404
Placentia, CA 92870-6108
Phone (949) 228-9607

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": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1679499693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S KRAEMER BLVD UNIT 404",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706108",
            "telephone_number": "949-228-9607",
            "fax_number": "714-202-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183308",
            "telephone_number": "949-228-9607",
            "fax_number": "714-202-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAMZON",
        "first_name": "PAUL IAN",
        "middle_name": "RODRIGUEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.