Tiferes Medical Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15375 Issued in CA

Legal business name

TIFERES MEDICAL GROUP

Practice address

1020 Corporation Way
Suite 207
Palo Alto, CA 94303-4328

Phone

(650) 704-1867

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Haim Tebeka

Title

Director

Phone

(650) 704-3168

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1225433501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CORPORATION WAY",
            "address_2": "SUITE 207",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034328",
            "telephone_number": "650-704-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CORPORATION WAY",
            "address_2": "SUITE 207",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034328",
            "telephone_number": "650-704-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFERES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "TEBEKA",
        "authorized_official_first_name": "HAIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-704-3168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "15375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Reanne Thumann, PHARMD
• Kiran Kumar Thurimella, MD, PHD
• Phyllis Balley Thurstone, M.D.
• Gregory Ming Tiao, MD
• Nicholas Tieu, PA-C
• Tiffany Bui, D.M.D., I.N.C
• Margaret Till, PA-C
• Lauren Timmerman, LCSW
• Molly Timmerman, DO
• Jason Tinero

• Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.