Active NPI
Tiffani Treis, PTA
- Community Health Worker
- Fresno, CA
National Provider Identifier
1326438755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 8160
- Practice address
- 4664 N Ila Ave
Fresno, CA 93705-0333 - Phone
- (559) 799-4448
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 8160 | CA | Primary |
Addresses
Primary practice location
4664 N Ila Ave
Fresno, CA 93705-0333
Mailing address
4664 N Ila Ave
Fresno, CA 93705-0333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8160 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1326438755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4664 N ILA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4664 N ILA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050333",
"telephone_number": "559-799-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREIS",
"first_name": "TIFFANI",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "8160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.