Erica Mae Tidiane

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95019105 Issued in CA

Practice address

950 Glenn Dr Ste 235
Folsom, CA 95630-3193

Phone

(916) 209-0533

Fax

(916) 209-4056

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Norcal NeurostimulationGroup PAC ID 9537520762, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Norcal Neurostimulation

  • Psychiatry Physician
  • Folsom, CA
  • NPI 1831888148
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205407095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDIANE",
        "first_name": "ERICA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 06266)
• Thrive Primary Care
• Thrivepoint Health, LLC
• Matthew Tibbitts
• Denali Tice, M.D.
• Heidi Anita Tijsseling, DVM
• Timothy E Phelan, M.D a Professional Medical Corporation (Creekside OB/Gyn of Folsom Medical Corporation)
• Praise Him Tinungki, NP
• TLC Concierge Medical Centre
• TLC Medical Transportation Folsom LLC

• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.