Tiffany Komba, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122118 Issued in CA

Practice address

16940 Highway 14
Mojave, CA 93501-1238

Phone

(818) 691-6167

NPI assigned

Mar 23, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Consult and Care Inc

  dba Placid Psychiatry

  • Psychiatry Physician
  • Fullerton, CA
  • NPI 1912703539
  Medicare reassignment NPD
• Placid Psychiatry a Professional Corporation

  dba Placid Psychiatry

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1801682174
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1346826807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935100509",
            "telephone_number": "818-691-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 HIGHWAY 14",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "818-691-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMBA",
        "first_name": "TIFFANY",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Harrison Hosier, RN
• Makasha Lavon Jeffers
• Bryan K Johnson
• Larraine Kember
• Leigh Ann Knight
• Kimberly Lynn Kraemer McHenry, M.A.; IMFT
• Lancaster Pharmacy
• Lancaster Pharmacy
• Jorge Lepe
• Caryaist Lynn Lightner

• Marriage & Family Therapist in Mojave, CA
• Providers in Mojave, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.

Verify at the official NPI Registry.