Active NPI
Tiffany Rose Leano Ynoquio, N.P.
- Family Nurse Practitioner
- San Fernando, CA
National Provider Identifier
1144660697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22293
- Practice address
- 732 Mott St
San Fernando, CA 91340-4237 - Phone
- (818) 963-5690
- Fax
- (818) 365-0726
- NPI assigned
- Jun 28, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22293 | CA | Primary |
Addresses
Primary practice location
732 Mott St
San Fernando, CA 91340-4237
Mailing address
732 Mott St
San Fernando, CA 91340-4237
Phone (818) 963-5690
Other practice location 1
632 Broadway Ph 12
New York, NY 10012-2614
Phone (818) 301-6370
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Community Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tiffanyrose.ynoquio@450368864321540.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- San Fernando, CA
- NPI 1245669555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1144660697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 MOTT ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404237",
"telephone_number": "818-963-5690",
"fax_number": "818-365-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 MOTT ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404237",
"telephone_number": "818-963-5690",
"fax_number": "818-365-0726"
}
],
"practiceLocations": [
{
"address_1": "632 Broadway Ph 12",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122614",
"country_code": "US",
"telephone_number": "818-301-6370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YNOQUIO",
"first_name": "TIFFANY ROSE",
"middle_name": "LEANO",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.