Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Brock Boydstun

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518753045

Tanner Brock Boydstun is an Addiction (Substance Use Disorder) Counselor in Oceanside, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1100 Sportfisher Dr
Oceanside, CA 92054
Phone: (760) 439-6702
Fax: (760) 439-4779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1518753045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 20, 2025
Mailing address1100 Sportfisher Drive, Oceanside, CA 92054

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