Active NPI
Tiffany Luuly Quan, M.D.
- Pediatrics Physician
- Rancho Cucamonga, CA
National Provider Identifier
1750397261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A77358
- Practice address
- 8235 Rochester Ave
Suite 120
Rancho Cucamonga, CA 91730-0718 - Phone
- (909) 484-4900
- Fax
- (909) 243-7868
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A77358 | CA | Primary |
Addresses
Primary practice location
8235 Rochester Ave
Suite 120
Rancho Cucamonga, CA 91730-0718
Mailing address
8235 Rochester Ave
Suite 120
Rancho Cucamonga, CA 91730-0718
Phone (909) 484-4900
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77358 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1750397261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 ROCHESTER AVE",
"address_2": "SUITE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300718",
"telephone_number": "909-484-4900",
"fax_number": "909-243-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 ROCHESTER AVE",
"address_2": "SUITE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300718",
"telephone_number": "909-484-4900",
"fax_number": "909-243-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "TIFFANY",
"middle_name": "LUULY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A77358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.