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TANDIS KAYE POURBASTANI
NPI 1598356586
Counselor - Mental Health in San Andreas, CA

Active since February 01, 2021
564 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249(209) 498-2227 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Feb 1, 2021 (2 updates tracked since 2021).

About Tandis Kaye Pourbastani NPPES

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

TANDIS KAYE POURBASTANI (NPI 1598356586) is an individual mental health provider in San Andreas, California, licensed in California (103662) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1598356586
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANDIS KAYE POURBASTANI
Location Address564 MOUNTAIN RANCH RDSan Andreas, CA 95249-9782
Mailing Address564 Mountain Ranch RdSan Andreas, CA 95249-9782 · (209) 498-2227
Phone(209) 498-2227
Sole ProprietorNo
Enumeration DateFebruary 1, 2021
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1598356586 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 · 103662
564 MOUNTAIN RANCH RD, San Andreas, CA 95249
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Other Providers at the Same Location NPPES 5

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

KULAURI COOPER
Case Manager/Care Coordinator
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227
KATIE FOLEY
Case Manager/Care Coordinator
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 890-9420
HANNAH KATHLEEN COWAN
Counselor (Mental Health)
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (949) 702-9169
MRS. LESLIE CALESTINI
Rehabilitation Practitioner
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 256-3916
REBECCA ROCHELLE LOPEZ
Counselor (Mental Health)
564 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 716-2784

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 Tandis Pourbastani's NPI number?

The NPI number for Tandis Pourbastani is 1598356586. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Tandis Pourbastani located?

Tandis Pourbastani practices at 564 Mountain Ranch Rd, San Andreas, CA 95249. The listed phone number is (209) 498-2227.

What is Tandis Pourbastani's specialty?

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

When was this NPI record last updated?

The NPPES record for Tandis Pourbastani was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.