Individual provider Active NPI

Tiffany Herd

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1013357862
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT111351 Issued in CA
Practice address
4160 Temescal Canyon Rd Ste 401
Corona, CA 92883-4626
Phone
(951) 444-1773
NPI assigned
Jun 26, 2013
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 111351 CA
Marriage & Family Therapist 106H00000X LMFT111351 CA Primary

Addresses

Primary practice location

4160 Temescal Canyon Rd Ste 401
Corona, CA 92883-4626

Mailing address

4160 Temescal Canyon Rd Ste 401
Corona, CA 92883-4626
Phone (951) 444-1773

Other practice location 1

2813 S Main St
Corona, CA 92882-5942
Phone (951) 273-0608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327003616 CA Practitioner - Marriage and Family Therapist 1355788258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1686 Barton Rd
Redlands, CA 92373-1488
Phone (909) 558-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT111351CAMDMarriage & Family Therapist
111351CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Loma Linda University Medical Center CurrentSince Feb 13, 2024 Accepting new patients
Loma Linda University Medical Center CurrentSince Feb 13, 2024 Accepting new patients

Locations

11234 Anderson St
#1153
Loma Linda, CA 92350

28078 Baxter Rd
Ste 240
Murrieta, CA 92563
Phone (951) 290-6530

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1013357862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 TEMESCAL CANYON RD STE 401",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834626",
            "telephone_number": "951-444-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 TEMESCAL CANYON RD STE 401",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834626",
            "telephone_number": "951-444-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 S Main St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928825942",
            "country_code": "US",
            "telephone_number": "951-273-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERD",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111351",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.