Individual provider Active NPI

Tiffany You, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1376829291
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14305 TLG Issued in CA
Practice address
1689 Arden Way
Ste 1344
Sacramento, CA 95815-4030
Phone
(650) 576-5871
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14305 TLG CA Primary

Addresses

Primary practice location

1689 Arden Way
Ste 1344
Sacramento, CA 95815-4030

Mailing address

6881 Sailboat Way
Sacramento, CA 95831-2509

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

LicenseStateTypeSpecialty
14305 TLGCAMDOptometrist
14305CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1376829291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 SAILBOAT WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY",
            "address_2": "STE 1344",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154030",
            "telephone_number": "650-576-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOU",
        "first_name": "TIFFANY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14305 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.