Tina Ann Mathews, SUDCC IV

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7347 Issued in CA

Practice address

120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757

Phone

(858) 208-0121

Fax

(858) 381-9768

NPI assigned

Apr 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1902070972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "858-208-0121",
            "fax_number": "858-381-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "858-208-0121",
            "fax_number": "858-381-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "TINA ANN",
        "credential": "SUDCC IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Macy-Hutter, DACM
• Victor Maldonado I
• Flora Langit Malit, M.D.
• Lorena Marquez
• Allison Jill Maslan, H.H.P, CCH
• Morgan McAleese
• Caroline McClemons, M.P.T.
• Katelyn Means, DPT
• Jacob Vincent Isaias Melendez, D.C.
• William Bradley Miley, CADC II

• Addiction (Substance Use Disorder) Counselor in Cardiff, CA
• Providers in Cardiff, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.