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

Tiffany Nakamura

Individual provider Mental Health Counselor · NPI 1356846349

Tiffany Nakamura is a Mental Health Counselor in San Diego, California. Qualified in 2012, 14 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

4510 Executive Dr Ste 315
San Diego, CA 92121-3029
Phone: (808) 728-9606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC4383 (CA)

Record details

NPI number1356846349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESMarch 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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