Tieshiea D Wolf
Individual provider Active NPI General Practice Registered Nurse · Carmel Valley, CA
NPI 1639046402 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1639046402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 545923 (CA)
- Practice address
- 1 Scarlett Rd
Carmel Valley, CA 93924-9437 - Phone
- (831) 884-1000
- Fax
- (831) 884-1014
- NPI assigned
- Oct 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 545923 | CA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse |
163WG0000X | 545923 | CA | Yes |
Addresses
Primary practice location
1 Scarlett Rd
Carmel Valley, CA 93924-9437
Mailing address
1 Scarlett Rd
Carmel Valley, CA 93924-9437
Phone (831) 884-1000
Other providers in Carmel Valley, CA
- Gregory Alan Thompson
- Tigerlily Women'S Health & Midwifery
- David Edward Villareal
- Lawrence Norman Wallace
- Barbara Ruth West
- Patricia E Wolff
- Damon Wood
All providers in Carmel Valley, CA · General Practice Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.