Individual provider Active NPI

John Neil Tabin Deang

  • Attendant Care Provider
  • Poway, CA
National Provider Identifier
1790642346
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
15152 Huntington CT
Poway, CA 92064-3069
Phone
(858) 254-2664
NPI assigned
Jan 6, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

15152 Huntington CT
Poway, CA 92064-3069

Mailing address

10290 Black Mountain Rd Apt 209
San Diego, CA 92126-3839
Phone (619) 717-9921

Other identifiers 1

IdentifierTypeStateIssuer
Y7544968OtherCALICENSE

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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1790642346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 BLACK MOUNTAIN RD APT 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263839",
            "telephone_number": "619-717-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15152 HUNTINGTON CT",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643069",
            "telephone_number": "858-254-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANG",
        "first_name": "JOHN NEIL",
        "middle_name": "TABIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "Y7544968",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.