Active NPI
Tiffany Roxana Ghadimi, MD
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1013719525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- XXXXXXX
- Practice address
- 675 18TH St
San Francisco, CA 94143-4200 - Phone
- (415) 476-7527
- NPI assigned
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | XXXXXXX | CA | Primary |
Addresses
Primary practice location
675 18TH St
San Francisco, CA 94143-4200
Mailing address
2736 Via Miguel
Palos Verdes Estates, CA 90274-4480
Phone (310) 796-6993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXX | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1013719525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 VIA MIGUEL",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902744480",
"telephone_number": "310-796-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941434200",
"telephone_number": "415-476-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADIMI",
"first_name": "TIFFANY",
"middle_name": "ROXANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "XXXXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.