Individual provider Active NPI

Tiffany Wing-Yiu Diep, NP

  • Family Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1669944534
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010475 Issued in CA
Practice address
350 Vinton Ave Ste 101
Pomona, CA 91767-3000
Phone
(096) 205-5029
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95073170 CA
Family Nurse Practitioner 363LF0000X 95010475 CA Primary

Addresses

Primary practice location

350 Vinton Ave Ste 101
Pomona, CA 91767-3000

Mailing address

350 Vinton Ave Ste 101
Pomona, CA 91767-3000
Phone (909) 620-5502

Other names 1

  • Tiffany Wing-Yiu Ma Former name

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
I20201001001831 CA Practitioner - Nurse Practitioner 4486073913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

Practice addresses (Care Compare)

4619 Rosemead Blvd
Rosemead, CA 91770-1478
Phone (626) 408-5927

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Specialist & Nursing Corporation CurrentSince Aug 21, 2020 Accepting new patients
Huntington Geriatric Medical Group Past Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

4619 Rosemead Blvd
#M
Rosemead, CA 91770

4619 Rosemead Blvd
Ste 2
Rosemead, CA 91770

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1669944534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VINTON AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673000",
            "telephone_number": "909-620-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VINTON AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673000",
            "telephone_number": "096-205-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "TIFFANY",
        "middle_name": "WING-YIU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95073170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MA",
            "middle_name": "WING-YIU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.