1. Home
  2. Directory
  3. California
  4. San Diego
  5. Counselor
  6. NPI Profile

JOHN TASTAD
NPI 1407430689
Counselor - Mental Health in San Diego, CA

Active since May 12, 2021PECOS Enrolled
4660 EL CAJON BLVD STE 210, SAN DIEGO, CA 92115(619) 597-7335 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Tastad NPPES

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

JOHN TASTAD (NPI 1407430689) is an individual mental health provider in San Diego, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407430689
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN TASTAD
Location Address4660 EL CAJON BLVD STE 210San Diego, CA 92115-4466
Mailing Address4660 El Cajon Blvd Ste 210San Diego, CA 92115-4466 · (619) 597-7335
Phone(619) 597-7335
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1407430689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4660 EL CAJON BLVD STE 210, San Diego, CA 92115
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Tastad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243228
PECOS Enrollment IDI20260501002211
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 Reassignment

Medicare enrollment records show John Tastad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC
4.8 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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.

WILLIE R MEADOWS SUD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 597-7335
KAREN RIVAS
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 597-7335
ILAN PEREIRA-MARTINEZ
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 597-7335
MS. DEBRA DENISE PORTEE
Marriage & Family Therapist
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
STEPHANIE LEWIS
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 376-9180
STEPHANIE AMAYA
Counselor (Mental Health)
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
JANET LAWSON
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 597-7335
MARISA LONA
Counselor (Addiction (Substance Use Disorder))
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115
San Diego County (619) 674-9576

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 John Tastad's NPI number?

The NPI number for John Tastad is 1407430689. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is John Tastad located?

John Tastad practices at 4660 El Cajon Blvd Ste 210, San Diego, CA 92115. The listed phone number is (619) 597-7335.

What is John Tastad's specialty?

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

Is John Tastad enrolled in Medicare?

Yes. John Tastad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Tastad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Tastad reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The 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 John Tastad'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 John Tastad was last updated on May 12, 2021. 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.