Tanner Pavelka

NP | Nurse Practitioner - Psych/Mental Health

2425 Blom St, San Diego
  California, 92109-3735
704-689-5482
May or may not accept Medicare Nurse Anesthetist in San Diego, California.
Tanner Pavelka is a San Diego, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Tanner Pavelka is 95036682 for Psych/Mental Health in California. His current practice location is 2425 Blom St, San Diego. Patients can reach him at 704-689-5482. Tanner Pavelka is NP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1659233955.
Tanner Pavelka provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Tanner Pavelka speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tanner Pavelka
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: NP
Practice Address:2425 Blom St, San Diego,
California, 92109-3735
Phone:704-689-5482
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1659233955
NPI Enumeration Date: 25 Nov, 2025
NPI Last Update On: 25 Nov, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanner Pavelka are as mentioned below.
License NumberSpecializationStateStatus
95036682Psych/Mental Health CaliforniaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tanner Pavelka
2425 Blom St,
San Diego, California
Zip: 92109-3735
Patients can reach Tanner Pavelka at 2425 Blom St, San Diego, California or can call to book an appointment on 704-689-5482.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.