Healthcare Provider Details

I. General information

NPI: 1770642134
Provider Name (Legal Business Name): TOMER ANBAR PH.D., CGP, CTC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8355 CLIFFRIDGE AVE
LA JOLLA CA
92037-2107
US

IV. Provider business mailing address

4192 GRAYDON RD
SAN DIEGO CA
92130-2116
US

V. Phone/Fax

Practice location:
  • Phone: 858-405-8238
  • Fax: 858-228-1757
Mailing address:
  • Phone: 858-405-8238
  • Fax: 858-228-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberCP15744
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberCP15744
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberCP15744
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberCP15744
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberCP15744
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberCP15744
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberCP15744
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License NumberCP15744
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberCP15744
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberCP15744
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: