Tiffanie Dai, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004034 Issued in CA

Practice address

4719 Quail Lakes Dr Ste G
PMB#274
Stockton, CA 95207-5267

Phone

(209) 952-2633

NPI assigned

Jan 8, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1235595067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR STE G",
            "address_2": "TIFFANIE DAI PMB# 274",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR STE G",
            "address_2": "PMB#274",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075267",
            "telephone_number": "209-952-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "TIFFANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mehernosh Dah, DC
• Naju M Dah, MD
• Mahmoud H Daher, D.P.T
• Tessa Christine Dahl, M.A., ATC
• Alexis Rose Dahley
• Shelia Berneadette Daigle-Beaird
• Daisy G. Ison, D.M.D., Inc.
• Daisy Li, DO, Inc.
• Sammy Dajani
• Latonya Dale

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.