Active NPI
Tiffany Michele Gianfala, DMHW
- Community/Behavioral Health Agency
- Concord, CA
National Provider Identifier
1073664983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 251S00000X
- Practice address
- 2086 Commerce Ave
Concord, CA 94520-4902 - Phone
- (925) 827-0212
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 251S00000X | CA | Primary |
Addresses
Primary practice location
2086 Commerce Ave
Concord, CA 94520-4902
Mailing address
2021 Cerro CT
Antioch, CA 94509-5811
Phone (925) 706-7702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022162999 | Other | CA | ORGANIZATION PROVIDER NUM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251S00000X | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073664983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CERRO CT",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945095811",
"telephone_number": "925-706-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2086 COMMERCE AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204902",
"telephone_number": "925-827-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANFALA",
"first_name": "TIFFANY",
"middle_name": "MICHELE",
"credential": "DMHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "251S00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION PROVIDER NUM",
"identifier": "1022162999",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.