Individual provider Active NPI

Tiffiny Suzanne Pizzifred, F.N.P.-C

  • Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1407202328
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004953 Issued in CA
Practice address
25455 Barton Rd
Suite 204B
Loma Linda, CA 92354-3128
Phone
(909) 558-6600
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 463494 CA
Nurse Practitioner 363L00000X 95004953 CA Primary

Addresses

Primary practice location

25455 Barton Rd
Suite 204B
Loma Linda, CA 92354-3128

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Other practice location 1

25815 Barton Rd Ste 101
Loma Linda, CA 92354-3894
Phone (909) 796-0224

Other practice location 2

1620 E 2nd St Ste N
Beaumont, CA 92223-3172
Phone (951) 845-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017002109 CA Practitioner - Nurse Practitioner 6709174212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

25815 Barton Rd
Suite 101
Loma Linda, CA 92354-3894
Phone (909) 796-0224

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as individual
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004953CAMDNurse Practitioner
463494CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group CurrentSince May 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
K. D. Macknet, M.D., Inc. Current Accepting new patients

Locations

1620 E Second St
Ste N
Beaumont, CA 92223
Phone (951) 845-6500

25455 Barton Rd
Ste 204B
Loma Linda, CA 92354
Phone (909) 558-6526

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224

File 54701
Los Angeles, CA 90074
Phone (909) 651-4300

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tiffiny.pizzifred@schweigerderm.emadirect.md

Organizations & group practices 5

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1407202328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE # 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE 204B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25815 Barton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543894",
            "country_code": "US",
            "telephone_number": "909-796-0224",
            "fax_number": "909-796-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 E 2nd St Ste N",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922233172",
            "country_code": "US",
            "telephone_number": "951-845-6500",
            "fax_number": "866-856-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZIFRED",
        "first_name": "TIFFINY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "463494",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.