Cayla Tillman

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

198320238 Issued in CA

Practice address

1431 W 97TH St
Los Angeles, CA 90047-3934

Phone

(323) 303-9808

NPI assigned

May 17, 2016

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

State licenses

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1518314814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W 97TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473934",
            "telephone_number": "323-303-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W 97TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473934",
            "telephone_number": "323-303-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "CAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "198320238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Brungardt Tilley, MD
• Jan Henrik Tillisch, MD
• Kirsten Tillisch, MD
• Emily Grace Tillmaand, MD
• Auriel Tillman
• Darlene Renee Tillman, SLP
• Desiree Tillman, D.D.S.
• Shaquita T. Tillman, PSY.D.
• Sheena Rae Tillman
• Areti Tillou, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.