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TIFFANY NAKAMURA
NPI 1356846349
Counselor - Mental Health in San Diego, CA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
4510 EXECUTIVE DR STE 315, SAN DIEGO, CA 92121(808) 728-9606 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiffany Nakamura NPPES

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

TIFFANY NAKAMURA (NPI 1356846349) is an individual mental health provider in San Diego, California, licensed in California (LPCC4383) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356846349
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY NAKAMURA
Location Address4510 EXECUTIVE DR STE 315San Diego, CA 92121-3029
Mailing Address4510 Executive Dr Ste 315San Diego, CA 92121-3029
Phone(808) 728-9606
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 29, 2018
✔ NPI 1356846349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LPCC4383
4510 EXECUTIVE DR STE 315, San Diego, CA 92121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Nakamura is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284072133
PECOS Enrollment IDI20240410003802
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tiffany Nakamura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monica Perlman MD Inc.
1.0 mi
Primary Care
9850 GENESEE AVE STE 320
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 341 clinicians in this Medicare group
NPI 1134309305 (858) 864-9800
Usc Care Medical Group, Inc
100 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANDREA LOU DROUIN LPCC
Counselor (Mental Health)
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 822-5701
JULIE MARIE MELEKIAN LMFT
Marriage & Family Therapist
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8053
TERRA LEE TOWNE PH.D.
Psychologist (Clinical)
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019
WILLIAM GRUNEWALD
Student in an Organized Health Care Education/Training Program
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019
SARRAH ALI
Psychologist
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019
NEHA JAIN GOEL MS
Student in an Organized Health Care Education/Training Program
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019
JORDYN WORBY RD
Dietitian, Registered
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019
DR. BRITTANY KAY BOHRER PHD
Psychologist (Clinical)
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121
San Diego County (858) 534-8019

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 Tiffany Nakamura's NPI number?

The NPI number for Tiffany Nakamura is 1356846349. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Tiffany Nakamura located?

Tiffany Nakamura practices at 4510 Executive Dr Ste 315, San Diego, CA 92121. The listed phone number is (808) 728-9606.

What is Tiffany Nakamura's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tiffany Nakamura enrolled in Medicare?

Yes. Tiffany Nakamura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tiffany Nakamura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Nakamura reassigns Medicare benefits to 2 organizations: Monica Perlman MD Inc. (La Jolla, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Nakamura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Nakamura was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.