Active NPI
Tiffany Devonne Primero, NP
- Family Nurse Practitioner
- Milpitas, CA
National Provider Identifier
1073957585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22759
- Practice address
- 940 Jacklin Rd
Milpitas, CA 95035-4554 - Phone
- (408) 550-2375
- NPI assigned
- Apr 26, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22759 | CA | Primary |
Addresses
Primary practice location
940 Jacklin Rd
Milpitas, CA 95035-4554
Mailing address
940 Jacklin Rd
Milpitas, CA 95035-4554
Phone (408) 550-2375
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22759 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1073957585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 JACKLIN RD",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354554",
"telephone_number": "408-550-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 JACKLIN RD",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354554",
"telephone_number": "408-550-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMERO",
"first_name": "TIFFANY",
"middle_name": "DEVONNE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
- Daniel K. Polite, MD
- Ponderosa Healthcare LLC (Sequoia Home Health)
- Sheryl Popper, LCSW
- Nidhi Prakash, DMD
- Prestige Adhc Inc
- Prisha Pediatrics Inc
- Priyabeedu DDS Inc (Mission View Dental)
- Prosthesis Dental Laboratory, Inc. (Dawn Family Dental)
- Cindy Yu-Hsuan Wu Qian, MD
- Qin Acupuncture and Herbs Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.