Active NPI
John David Tobias Jr.
- Addiction (Substance Use Disorder) Counselor
- Santa Ana, CA
National Provider Identifier
1891335196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LR01360315
- Practice address
- 550 N Golden Circle Dr
Santa Ana, CA 92705-3959 - Phone
- (630) 234-6067
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LR01360315 | CA | Primary |
Addresses
Primary practice location
550 N Golden Circle Dr
Santa Ana, CA 92705-3959
Mailing address
550 N Golden Circle Dr
Santa Ana, CA 92705-3959
Phone (630) 234-6067
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | johndtobias1@gmail.com | Direct | |
| Other URL | johndtobias1@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR01360315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1891335196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N GOLDEN CIRCLE DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053959",
"telephone_number": "630-234-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N GOLDEN CIRCLE DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053959",
"telephone_number": "630-234-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LR01360315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "johndtobias1@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23674 Shady Lane",
"city": "Crestline",
"state": "CA",
"country_code": "US",
"postal_code": "92325",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "johndtobias1@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23674 Shady Lane",
"city": "Crestline",
"state": "CA",
"country_code": "US",
"postal_code": "92325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.