Active NPI
Tiffany Lyn Sofie
- Addiction (Substance Use Disorder) Counselor
- Covina, CA
National Provider Identifier
1003053463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 540 S Eremland Dr
Covina, CA 91723-3186 - Phone
- (626) 966-1577
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
540 S Eremland Dr
Covina, CA 91723-3186
Mailing address
540 S Eremland Dr
Covina, CA 91723-3186
Phone (626) 966-1577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2009.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1003053463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S EREMLAND DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917233186",
"telephone_number": "626-966-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S EREMLAND DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917233186",
"telephone_number": "626-966-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFIE",
"first_name": "TIFFANY",
"middle_name": "LYN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.