Tiffany B Capobianco, NUTRITION CONSULTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

68624 Issued in CA

Practice address

41990 Cook St Ste F2006
Palm Desert, CA 92211-6100

Phone

(760) 285-1221

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany B Dalton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1083040448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE 2006",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116105",
            "telephone_number": "760-285-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE F2006",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-285-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "credential": "NUTRITION CONSULTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "68624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "DALTON",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Catherine Campbell
• Amber Campbell, LMHC
• Brenda Jannet Canas
• Kenny Canizalez
• Steven Cannon
• Abraham Carbajal
• Ivy E Cardenas
• Care Dimensions of the Desert, LLC
• Care First Rehabilitation
• Caring & Helping Hearts Hospice

• Physician Assistant in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.