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WHITE INK CLINIC
NPI 1659919140
Clinic/Center - Adult Mental Health in La Jolla, CA

Active since December 15, 2019
8950 VILLA LA JOLLA DR STE C117, LA JOLLA, CA 92037(858) 997-0235 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2020, Mar 19, 2020, Feb 14, 2020 and 2 more (5 updates tracked since 2019).

About White Ink Clinic NPPES

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

WHITE INK CLINIC (NPI 1659919140) is a healthcare organization registered as an adult mental health in La Jolla, California and active in the NPI registry since December 2019. The organization lists Kim Huynh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659919140
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTUBI CONNECT INC.
Location Address8950 VILLA LA JOLLA DR STE C117La Jolla, CA 92037-1707
Mailing Address2434 Meadow Lark DrSan Diego, CA 92123-3316 · (858) 997-7415
Phone(858) 997-0235
Organization SubpartNo
Authorized OfficialKim HuynhAdministrator · (858) 997-7415
Enumeration DateDecember 15, 2019
Last NPPES UpdateDecember 28, 20235 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1659919140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
8950 VILLA LA JOLLA DR STE C117, La Jolla, CA 92037
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Other Names 1

Doing Business AsWhite Ink Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Ink Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to White Ink Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Beatriz Lares, M.D
General Practice
NPI 1700098381
9360 TELEGRAPH RD
Downey, CA 90240
(562) 869-0180
✔ PECOS91 mi
David Anzaldua, M.D.
Family Practice
NPI 1699822346
4949 STEVENS CREEK BLVD
Santa Clara, CA 95051
(831) 917-4504
✔ PECOS✔ Accepts Medicare409 mi
Glenn Powers, PH.D.
Clinical Psychologist
NPI 1194782789
521 N 10TH AVE # 220
Caldwell, ID 83605
(208) 810-3945
✔ PECOS✔ Accepts Medicare746 mi
Larry Lazaro, M.D.
Internal Medicine
NPI 1568449007
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
(810) 692-4030
✔ PECOS✔ Accepts Medicare1,786 mi

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

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 Tubi Connect Inc.'s NPI number?

The NPI number for Tubi Connect Inc. is 1659919140. It was assigned to this organization in the NPPES registry on December 15, 2019. The provider is doing business as White Ink Clinic.

Where is Tubi Connect Inc. located?

Tubi Connect Inc. is located at 8950 Villa La Jolla Dr Ste C117, La Jolla, CA 92037. The listed phone number is (858) 997-0235.

What is Tubi Connect Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Tubi Connect Inc. enrolled in Medicare?

Yes. Tubi Connect Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tubi Connect Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Tubi Connect Inc., in Clinical Psychologist, Family Practice, General Practice and Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tubi Connect Inc. was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.