Tanya Audrey Margaret Deporto, MD, PHD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

145547 Issued in CA

Practice address

26001 Redlands Blvd
Redlands, CA 92373-7762

Phone

(909) 825-7084

NPI assigned

Dec 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tanya Audrey Margaret Griffiths Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Create Cures Foundation

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1427683945
  NPD
• Horizon Dermatology and Laser Institute

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1235792219
  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1750825295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925950315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26001 REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737762",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957419",
            "country_code": "US",
            "telephone_number": "310-267-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 15th St Ste 1109",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041146",
            "country_code": "US",
            "telephone_number": "424-785-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPORTO",
        "first_name": "TANYA",
        "middle_name": "AUDREY MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "145547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "GRIFFITHS",
            "middle_name": "AUDREY MARGARET",
            "prefix": "DR.",
            "credential": "MD, PHD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Delongchamp
• Danielle Orefice Delorenzo
• Rebecca Marie Delsi, LAT, ATC
• Tianda Deng
• Aron John Depew, M.D.
• Michelle Depuy, PPS
• Leasa Dering
• Desai Medical Group & Behavioral Health Inc
• Archis D Desai, M.D.
• Arnon David Desai, M.D.

• Public Health & General Preventive Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.