Tiffany Patrice Tobios

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

61863 Issued in CA

Practice address

4149 Tweedy Blvd
Suite J
South Gate, CA 90280-6167

Phone

(323) 567-3333

NPI assigned

Mar 30, 2009

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

Other names 1

• Mrs. Tiffany Patrice Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1235371774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 ARTESIA BLVD",
            "address_2": "APT 16",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066226",
            "telephone_number": "323-219-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD",
            "address_2": "SUITE J",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "323-567-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIOS",
        "first_name": "TIFFANY",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "61863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "JOHNSON",
            "middle_name": "PATRICE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dental Assistant in South Gate, CA
• Providers in South Gate, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.