TANNER BROCK BOYDSTUN
NPI 1518753045
Counselor - Addiction (Substance Use Disorder) in Oceanside, CA

Active since April 21, 2025
1100 SPORTFISHER DRIVE, OCEANSIDE, CA 92054(760) 439-6702(760) 439-4779 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tanner Brock Boydstun NPPES

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

TANNER BROCK BOYDSTUN (NPI 1518753045) is an individual addiction (substance use disorder) provider in Oceanside, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1518753045
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTANNER BROCK BOYDSTUN
Location Address1100 SPORTFISHER DRIVEOceanside, CA 92054
Mailing Address1100 Sportfisher DriveOceanside, CA 92054 · (760) 439-6702 · Fax (760) 439-4779
Fax(760) 439-4779
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
NPI 1518753045 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
1100 SPORTFISHER DRIVE, Oceanside, CA 92054

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1100 SPORTFISHER DRIVE
OCEANSIDE, CA 92054

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 Tanner Boydstun's NPI number?

The NPI number for Tanner Boydstun is 1518753045. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Tanner Boydstun located?

Tanner Boydstun practices at 1100 Sportfisher Drive, Oceanside, CA 92054. The listed phone number is (760) 439-6702.

What is Tanner Boydstun'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 Tanner Boydstun was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.