Tiffany Hebe De Marquez-Carles, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPF95028469 Issued in CA

Practice address

910 Grand Ave Ste 203-204
San Diego, CA 92109-4046

Phone

(707) 318-5424

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Glowtox Aesthetics

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1346007168
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1477319390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 REED AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE STE 203-204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "707-318-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARQUEZ-CARLES",
        "first_name": "TIFFANY",
        "middle_name": "HEBE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95028469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystalei Vanessa Saporsantos De Los Santos
• Lito Apple De Luca, ACSW
• Rene Suzanne De Luca, LCSW
• Ashley De Luna, ND
• Kean Troy Lusterio De Luna
• Pamela Michelle De Mers, NP
• Ma Kristel De Mesa
• Amy De Meules, LCSW
• Mia De Nava
• Cyndie Claypool De Neve, AMFT

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.