Active NPI
Tiffany Lara, NP
- Family Nurse Practitioner
- Palmdale, CA
National Provider Identifier
1275423915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95035880
- Practice address
- 41230 11TH St W Ste C
Palmdale, CA 93551-1411 - Phone
- (818) 213-6282
- NPI assigned
- Jul 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95035880 | CA | Primary |
Addresses
Primary practice location
41230 11TH St W Ste C
Palmdale, CA 93551-1411
Mailing address
4025 Vitrina LN
Palmdale, CA 93551-5339
Phone (818) 213-6282
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250827001271 | CA | Practitioner - Nurse Practitioner | 5193226736 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4025 Vitrina LN
Palmdale, CA 93551-5339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D. Cohen, M.D., Inc | Current | Accepting new patients |
Locations
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
27420 Tourney Rd
Ste 200
Valencia, CA 91355
Phone (661) 254-9950
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1275423915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 VITRINA LN",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515339",
"telephone_number": "818-213-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41230 11TH ST W STE C",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511411",
"telephone_number": "818-213-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "TIFFANY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-05",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95035880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.