Individual provider Active NPI

Tiffany Rose Duffy, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1679250765
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36654 Issued in CA
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

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
36654CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiropractic Grant del Sur Inc Chiropractor CurrentSince Jun 3, 2025 Accepting new patients
100 Chiro del Sur, LLC Chiropractor CurrentSince Jul 2, 2023 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.

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.

Verify at the official NPI Registry.