Individual provider Active NPI

Tiffany Ohara, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1568063162
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75612 Issued in CA
Practice address
8075 W 3Rd St Ste 306
Los Angeles, CA 90048-4334
Phone
(323) 642-7093
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 75612 CA Primary

Addresses

Primary practice location

8075 W 3Rd St Ste 306
Los Angeles, CA 90048-4334

Mailing address

730 N Edinburgh Ave
West Hollywood, CA 90046-7004
Phone (917) 701-8494

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

State licenses

LicenseStateTypeSpecialty
75612CAMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23885/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1568063162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N EDINBURGH AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467004",
            "telephone_number": "917-701-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 W 3RD ST STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484334",
            "telephone_number": "323-642-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75612",
            "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 Nov 2, 2020; 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.