Active NPI
Tiffany Rose Duffy, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1679250765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36654
- Practice address
- 16490 Paseo del Sur Ste 115
San Diego, CA 92127-4203 - Phone
- (858) 524-1091
- Fax
- (858) 524-1033
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36654 | CA | Primary |
Addresses
Primary practice location
16490 Paseo del Sur Ste 115
San Diego, CA 92127-4203
Mailing address
1619 Columbus Rd
West Sacramento, CA 95691-4916
Phone (760) 271-9712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36654 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiropractic Grant del Sur Inc | Chiropractor | Current | Accepting new patients |
| 100 Chiro del Sur, LLC | Chiropractor | Current | Accepting new patients |
Locations
16490 Paseo del Sur
Ste 115
San Diego, CA 92127
Phone (858) 524-1091
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.
-
- Chiropractor
- San Diego, CA
- NPI 1598349722
-
- Chiropractor
- San Diego, CA
- NPI 1699568147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1679250765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 COLUMBUS RD",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956914916",
"telephone_number": "760-271-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16490 PASEO DEL SUR STE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921274203",
"telephone_number": "858-524-1091",
"fax_number": "858-524-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "TIFFANY",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.