Tiffany Elizabeth Ellis

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

20A11353 Issued in CA

Legal business name

TIFFANY ELIZABETH ELLIS

Practice address

4101 Torrance Blvd
Torrance, CA 90503-4607

Phone

(310) 944-8888

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Elizabeth Ellis, D.O.

Title

Physician

Phone

(954) 258-0716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1053615658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 ADMIRALTY WAY",
            "address_2": "APT 316",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926257",
            "telephone_number": "954-258-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-944-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY ELIZABETH ELLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-258-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A11353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonza Nicole Thymes, M.D.
• Ti-Med,Inc.
• Tiarachrista Villas
• Genevieve Bancale Tibon-Morales, RN
• Jamie Delloro Tibon
• Tiffany Rogers, M.D., M.P.T, Inc.
• Tiffany Rogers, MD, MPT, Inc.
• Kriska Aimee Tiglao, FNP-BC
• Tim K Cha MD Neurology Medical Corporation
• Signe Anne Timm, M.S.W.

• Hospice and Palliative Medicine (Family Medicine) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.