Individual provider Active NPI

Tiffany Vo, PA-C

  • Physician Assistant
  • Glendora, CA
National Provider Identifier
1225791221
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60237 Issued in CA
Practice address
1377 S Grand Ave
Glendora, CA 91740-5047
Phone
(626) 857-2502
NPI assigned
Oct 16, 2021
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60237 CA Primary

Addresses

Primary practice location

1377 S Grand Ave
Glendora, CA 91740-5047

Mailing address

1377 S Grand Ave
Glendora, CA 91740-5047

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220510000884 CA Practitioner - Physician Assistant 1850778002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Corporate Plaza Dr
Suite 150
Newport Beach, CA 92660-7907

252 W Willow St
Pomona, CA 91768-1754

500 Superior Ave
Suite 335
Newport Beach, CA 92663-3360

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

PO Box
Las Vegas, NV 89133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60237CAMDPharmacist
PA60237CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Pure CurrentSince Feb 24, 2022 Accepting new patients
Empire Wound Care CurrentSince Jan 29, 2026 Accepting new patients

Locations

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

500 Superior Ave
Ste 335
Newport Beach, CA 92663
Phone (949) 706-1469

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1225791221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405047",
            "telephone_number": "626-857-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.