Individual provider Active NPI

Tiffany C Laffoon

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1447073895
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95032168 Issued in CA
Practice address
491 E Alessandro Blvd
Riverside, CA 92508-6071
Phone
(866) 389-2727
NPI assigned
Nov 4, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95032168 CA Primary

Addresses

Primary practice location

491 E Alessandro Blvd
Riverside, CA 92508-6071

Mailing address

491 E Alessandro Blvd
Riverside, CA 92508-6071
Phone (951) 780-1835

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
I20250402002284 CA Practitioner - Nurse Practitioner 2365965159 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

Practice addresses (Care Compare)

491 E Alessandro Blvd
Riverside, CA 92508-6071
Phone (866) 389-2727

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-5411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95032168CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Emergency Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Feb 22, 2025 Accepting new patients
Minuteclinic Primary Care California Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Feb 11, 2025 Accepting new patients
Montclair Emergency Medical Associates CurrentSince Mar 1, 2025 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Aug 15, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Feb 22, 2025 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

491 E Alessandro Blvd
Riverside, CA 92508
Phone (951) 780-1835

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3064

16850 Bear Valley Rd
Victorville, CA 92395

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1447073895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E ALESSANDRO BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086071",
            "telephone_number": "951-780-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E ALESSANDRO BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086071",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFOON",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.