Individual provider Active NPI

Teresa Arlene Tincopa, FNP

  • Family Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1609853233
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345694 Issued in CA
Practice address
6301 Greenleaf Ave
Whittier, CA 90601-3536
Phone
(562) 693-9880
Fax
(562) 693-1249
NPI assigned
Dec 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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 345694 CA Primary

Addresses

Primary practice location

6301 Greenleaf Ave
Whittier, CA 90601-3536

Mailing address

8420 Lindante Dr
Whittier, CA 90603-1012
Phone (562) 947-4548

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
I20140619002226 CA Practitioner - Nurse Practitioner 2466676150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Greenleaf Ave
Whittier, CA 90601-3536
Phone (562) 693-9882

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tincopa Medical Clinic CurrentSince Aug 1, 2020 Accepting new patients
Luis Tincopa M D Inc Past Accepting new patients

Locations

7507 Seville Ave
Huntington Pk, CA 90255
Phone (323) 555-5555

6301 Greenleaf Ave
Whittier, CA 90601
Phone (562) 693-9880

Organizations & group practices 2

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.

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": "1135382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1609853233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 LINDANTE DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906031012",
            "telephone_number": "562-947-4548",
            "fax_number": "562-693-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013536",
            "telephone_number": "562-693-9880",
            "fax_number": "562-693-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINCOPA",
        "first_name": "TERESA",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-24",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "345694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.