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BIANCA VANN RADT
NPI 1124615109
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since December 24, 2020
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2300(619) 237-1856 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bianca Vann Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA VANN RADT (NPI 1124615109) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1414351220) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1124615109
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBIANCA VANNCredential: RADT
Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 237-1856
Phone(619) 515-2300
Fax(619) 237-1856
Sole ProprietorNo
Enumeration DateDecember 24, 2020
NPPES CertifiedDecember 24, 2020
✔ NPI 1124615109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1414351220
823 GATEWAY CENTER WAY, San Diego, CA 92102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN KERMOIAN YASZAY NP
Nurse Practitioner (Family)
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2300
MR. ALEJANDRO R BASCON CERTIFIED
Counselor (Addiction (Substance Use Disorder))
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2300
BRITANY RODARTE
Dietitian, Registered
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2300
MISS KATIE LYNN WOOD LAADC
Counselor (Addiction (Substance Use Disorder))
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 876-4462
CARLY MOORE
Social Worker
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 906-4623
MYRNA ZAVALA MOLINA PA
Physician Assistant
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2300
ANNE MARIA LEISTIKOW
Dental Hygienist
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2323
ANNA FADEM MFTI
Marriage & Family Therapist
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 515-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Vann's NPI number?

The NPI number for Bianca Vann is 1124615109. It was assigned to this individual provider in the NPPES registry on December 24, 2020.

Where is Bianca Vann located?

Bianca Vann practices at 823 Gateway Center Way, San Diego, CA 92102. The listed phone number is (619) 515-2300.

What is Bianca Vann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bianca Vann was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.