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MR. NATHANIEL MYRON TATUM SUDRC
NPI 1487451746
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since February 25, 2025
2516 A ST, SAN DIEGO, CA 92102(619) 952-2944 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nathaniel Myron Tatum Sudrc NPPES

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

MR. NATHANIEL MYRON TATUM SUDRC (NPI 1487451746) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1487451746
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NATHANIEL MYRON TATUMCredential: SUDRC
Location Address2516 A STSan Diego, CA 92102-2111
Mailing Address3320 Vista Ave Apt 1Lemon Grove, CA 91945-2239 · (619) 952-2944
Phone(619) 952-2944
Sole ProprietorYes
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1487451746 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
2516 A ST, San Diego, CA 92102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

THOMAS BALLARD
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 547-4781
KARENINA TANJOCO DUENAS CADC-I
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
DIANA JEAN GREGORY PSS
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
JAMIE LEIGH WION RADT
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
JOHNNY KALINCHOK
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
PAUL MARAHRENS
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
STACY MOSLEY
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592
MR. MANUEL SALCIDO JR. RADT
Counselor (Addiction (Substance Use Disorder))
2516 A ST
SAN DIEGO, CA 92102
San Diego County (619) 235-0592

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 Nathaniel Tatum's NPI number?

The NPI number for Nathaniel Tatum is 1487451746. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Nathaniel Tatum located?

Nathaniel Tatum practices at 2516 A St, San Diego, CA 92102. The listed phone number is (619) 952-2944.

What is Nathaniel Tatum'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 Nathaniel Tatum was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.