Active NPI
Tiffany Lara
- Student in an Organized Health Care Education/Training Program
- Wasco, CA
National Provider Identifier
1376217620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 701 Scotfield Ave
Wasco, CA 93280 - Phone
- (661) 758-8400
- NPI assigned
- Aug 2, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Social Worker | 104100000X | ASW134776 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
701 Scotfield Ave
Wasco, CA 93280
Mailing address
10001 Camino Media
Bakersfield, CA 93311-1310
Other practice location 1
10417 Main St
LaMont, CA 93241-1726
Phone (661) 845-5100
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 |
|---|---|---|---|
| ASW134776 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Sierra Vista | Social Worker | Past | Accepting new patients |
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": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1376217620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 CAMINO MEDIA",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933111310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SCOTFIELD AVE",
"city": "WASCO",
"state": "CA",
"postal_code": "93280",
"telephone_number": "661-758-8400"
}
],
"practiceLocations": [
{
"address_1": "10417 Main St",
"address_purpose": "LOCATION",
"city": "LaMont",
"state": "CA",
"postal_code": "932411726",
"country_code": "US",
"telephone_number": "661-845-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW134776",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.