Active NPI
John Ian N Tiu
- Case Manager/Care Coordinator
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1750 5TH Ave
San Diego, CA 92101-2754 - Phone
- (619) 515-2300
- NPI assigned
- May 26, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1750 5TH Ave
San Diego, CA 92101-2754
Mailing address
1750 5TH Ave
San Diego, CA 92101-2754
Other practice location 1
928 Broadway
San Diego, CA 92101-5514
Phone (619) 977-3716 ext. 200
Other practice location 2
1738 S Tremont St
Oceanside, CA 92054-5309
Phone (760) 439-2800
Other practice location 3
3878 Ruffin Rd Ste B
San Diego, CA 92123-1842
Phone (619) 739-4569
Other practice location 4
1750 5th Ave
San Diego, CA 92101-2754
Phone (619) 515-2300 ext. 1942
Other practice location 5
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hawthorne Crisis Center
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1225251812
-
dba Senior IMPACT
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1255693420
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1881217768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012754",
"telephone_number": "619-515-2300"
}
],
"practiceLocations": [
{
"address_1": "928 Broadway",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921015514",
"country_code": "US",
"telephone_number": "619-977-3716 x200",
"fax_number": "619-481-3075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1738 S Tremont St",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920545309",
"country_code": "US",
"telephone_number": "760-439-2800",
"fax_number": "760-433-5031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3878 Ruffin Rd Ste B",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231842",
"country_code": "US",
"telephone_number": "619-739-4569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 5th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921012754",
"country_code": "US",
"telephone_number": "619-515-2300 x1942",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Laurel St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921011634",
"country_code": "US",
"telephone_number": "619-233-4399",
"fax_number": "619-233-0453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIU",
"first_name": "JOHN IAN",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2023-11-30",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.