Tiffany Galvizo

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

11037 Warner Ave # 339
Fountain Valley, CA 92708-4007

Phone

(800) 273-4292

Fax

(949) 253-4627

NPI assigned

Aug 16, 2015

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Footprints Behavior Interventions

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1770004830
  NPD (past)

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1093181802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572806",
            "telephone_number": "508-479-0207",
            "fax_number": "508-634-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE # 339",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIZO",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dean Galbraith, R1558470424
• Guadalupe Virginia Galindo Martinez, MSW, ASW
• Guadalupe Liset Gallegos, MSW
• Carlie Dayle Galloway, LCSW
• Stacey L Galvin, LMFT #40424
• Sahil Gambhir, M.D.
• Karissa Rossi Gambina, LMFT 117142
• Sabina Malik Gandhi, MD, MPH
• Arlette Garcia Cruz
• Marie Ivette Garcia Merida

• Developmental Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Developmental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.