NPIMap

Individual provider Active NPI

Tiffany Catherine Jumaily, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1437442662
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
147000 Issued in CA
Practice address
2080 Century Park E Ste 305
Los Angeles, CA 90067-2006
Phone
(310) 657-4586
Fax
(310) 657-0986
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 258112 MA
Pediatrics Physician 208000000X 147000 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 305
Los Angeles, CA 90067-2006

Mailing address

2080 Century Park E Ste 305
Los Angeles, CA 90067-2006
Phone (310) 657-4586

Other practice location 1

10 Centennial Dr
Peabody, MA 01960-7938
Phone (978) 535-1110

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147000CAMDPediatrics Physician
258112MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Corporation Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Joel Warsh MD, Professional Corporation Pediatrics Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Organizations & group practices 4

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1437442662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672006",
            "telephone_number": "310-657-4586",
            "fax_number": "310-657-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672006",
            "telephone_number": "310-657-4586",
            "fax_number": "310-657-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607938",
            "country_code": "US",
            "telephone_number": "978-535-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUMAILY",
        "first_name": "TIFFANY",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "258112",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "147000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.