Active NPI
Tiffany Torok, RD
- Registered Dietitian
- Petaluma, CA
National Provider Identifier
1306387451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86021914
- Practice address
- 1640 Northstar Dr
Petaluma, CA 94954-6622 - Phone
- (415) 845-8654
- NPI assigned
- Mar 8, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86021914 | CA | Primary |
Addresses
Primary practice location
1640 Northstar Dr
Petaluma, CA 94954-6622
Mailing address
1640 Northstar Dr
Petaluma, CA 94954-6622
Phone (415) 845-8654
Other names 1
- Tiffany Epperson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86021914 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinics for Rehabilitative Services | Current | Accepting new patients |
Locations
2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1306387451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 NORTHSTAR DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546622",
"telephone_number": "415-845-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 NORTHSTAR DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546622",
"telephone_number": "415-845-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOROK",
"first_name": "TIFFANY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86021914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "EPPERSON",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.