Individual provider Active NPI

Tamara Sue Pippin, FNP

  • Family Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1508569567
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026915 Issued in CA
Practice address
2263 Finch Cir
San Jacinto, CA 92582-6964
Phone
(760) 525-5894
Fax
(951) 418-3938
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 95026915 CA Primary

Addresses

Primary practice location

2263 Finch Cir
San Jacinto, CA 92582-6964

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857

Other practice location 1

16745 W Bernardo Dr Ste 240
San Diego, CA 92127-1908
Phone (858) 592-2000

Other practice location 2

3110 E Guasti Rd Ste 315
Ontario, CA 91761-1258
Phone (909) 981-1136

Other practice location 3

750 The City Dr S Ste 120
Orange, CA 92868-6945
Phone (714) 980-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231012000085 CA Practitioner - Nurse Practitioner 8628422532 Reassigns benefits to 36 organizations
I20251222000609 UT Practitioner - Nurse Practitioner 8628422532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Horizon Wound Specialists IncGroup PAC ID 4284123118, 2 clinicians
Wound Care 360 Advanced Solutions IncGroup PAC ID 2769912906, 12 clinicians
Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians
Optima Health CorpGroup PAC ID 3779911466, 32 clinicians
Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians
Physicians and Surgeons Home Care IncGroup PAC ID 6305181686, 11 clinicians

Practice addresses (Care Compare)

Northridge, CA 91324
Phone (818) 562-0307

Sherman Oaks, CA 91403
Phone (747) 307-4814

Ontario, CA 91764
Phone (760) 286-7826

San Jacinto, CA 92582
Phone (888) 211-1498

1424 Hummingbird Way
Banning, CA 92220-7206
Phone (626) 250-4912

3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729

955 Carrillo Dr
Suite 400
Los Angeles, CA 90048-5472
Phone (818) 213-6325

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moderm Medical Solutions Ut PLLC CurrentSince Nov 5, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Mar 17, 2025 Accepting new patients
Innovative Wound Solutions Inc CurrentSince Feb 27, 2026 Accepting new patients
Temima Healthcare CurrentSince Jan 7, 2025 Accepting new patients
Supportive Wound Care, Inc CurrentSince Sep 3, 2024 Accepting new patients
Wound Care Solutions of California CurrentSince Aug 16, 2025 Accepting new patients
Wound Care RX CurrentSince Oct 1, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Mar 17, 2025 Accepting new patients
Osher Resources Inc CurrentSince May 26, 2024 Accepting new patients
Seasons Medical Group of California Incorporated CurrentSince Dec 17, 2023 Accepting new patients
PHX Mobile Wound Care LLC CurrentSince Oct 31, 2025 Accepting new patients
Precision Wound Solutions CurrentSince Dec 9, 2025 Accepting new patients
Tri-State Community Healthcare Center Current Accepting new patients
Regional Wound Care CurrentSince May 1, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Sep 11, 2023 Accepting new patients
VH Wound Service CurrentSince Jan 17, 2026 Accepting new patients
SNF Wound Care CurrentSince Apr 11, 2024 Accepting new patients
Pure Mobile Health Inc. CurrentSince Oct 8, 2025 Accepting new patients
Nexus Wound Consultants PC CurrentSince Sep 8, 2024 Accepting new patients
Procare Wound & Podiatry Services CurrentSince Mar 10, 2025 Accepting new patients
Ezfm Marketing Inc CurrentSince Jun 26, 2025 Accepting new patients
Horizon Wound Specialists Inc CurrentSince Dec 1, 2025 Accepting new patients
Vital Medical Group, Inc CurrentSince Apr 20, 2025 Accepting new patients
Moderm Wound Care Specialist LLC CurrentSince Jul 7, 2025 Accepting new patients
Moderm Medical Solutions Ca Inc. CurrentSince Oct 1, 2025 Accepting new patients
California Wound Healing Medical Group Inc. CurrentSince Oct 13, 2024 Accepting new patients
Doctors on the Go Inc. CurrentSince Nov 13, 2023 Accepting new patients
Refael Medical, Inc. CurrentSince Jan 7, 2025 Accepting new patients
San Luis Rey Medical Group CurrentSince Nov 19, 2025 Accepting new patients
Jessica Wong Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Physicians and Surgeons Home Care Inc CurrentSince Feb 28, 2026 Accepting new patients
Optimum Wound Care Inc CurrentSince Apr 9, 2025 Accepting new patients
Harbor Wound Care P.C. CurrentSince Feb 9, 2026 Accepting new patients
Seasons Hospice & Palliative Care of California- San Bernardino, LLC Past Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients
Seasons Hospice & Palliative Care of California- San Diego, LLC PastSince Dec 17, 2023 Accepting new patients
Ac and CS PastSince Apr 20, 2025 Accepting new patients
Wound Away PastSince Dec 1, 2024 Accepting new patients

Locations (25 of 38)

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

8200 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 879-7167

8200 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (562) 309-1300

1023 N Hollywood Way
Ste 206
Burbank, CA 91505
Phone (818) 821-0001

9528 Topanga Canyon Blvd
Chatsworth, CA 91311
Phone (818) 634-7091

7840 Imperial Hwy
#B
Downey, CA 90242
Phone (213) 784-7918

5535 Balboa Blvd
Ste 200K
Encino, CA 91316
Phone (818) 262-0035

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

1800 S Brand Blvd
Ste 119
Glendale, CA 91204
Phone (747) 233-0485

330 N Brand Blvd
Ste 700
Glendale, CA 91203
Phone (417) 880-7500

10324 Balboa Blvd
Ste 115
Granada Hills, CA 91344
Phone (310) 666-2392

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

6400 Oak Cyn
Ste 200
Irvine, CA 92618
Phone (949) 240-7200

3959 Foothill Blvd
La Crescenta, CA 91214
Phone (310) 666-2392

955 Carrillo Dr
Ste 400
Los Angeles, CA 90048
Phone (818) 213-6325

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

12444 Victory Blvd
Ste 302
North Hollywood, CA 91606
Phone (747) 224-2034

8949 Reseda Blvd
Ste 221
Northridge, CA 91324
Phone (747) 224-0215

3110 E Guasti Rd
Ste 315
Ontario, CA 91761
Phone (346) 376-1702

Organizations & group practices 45

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.

View all 45

Hospital & facility affiliations 2

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1508569567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 FINCH CIR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925826964",
            "telephone_number": "760-525-5894",
            "fax_number": "951-418-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16745 W Bernardo Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271908",
            "country_code": "US",
            "telephone_number": "858-592-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 E Guasti Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917611258",
            "country_code": "US",
            "telephone_number": "909-981-1136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 The City Dr S Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928686945",
            "country_code": "US",
            "telephone_number": "714-980-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "TAMARA",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.