Individual provider Active NPI

Tiffany J Lin, NP

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1790204659
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007355 Issued in CA
Practice address
8077 Florence Ave Ste 112
Downey, CA 90240-3894
Phone
(562) 904-6031
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007355 CA Primary

Addresses

Primary practice location

8077 Florence Ave Ste 112
Downey, CA 90240-3894

Mailing address

8077 Florence Ave Ste 112
Downey, CA 90240-3894
Phone (510) 857-3228

Other practice location 1

3660 E Imperial Hwy
Lynwood, CA 90262-2653
Phone (562) 904-6031

Other practice location 2

3550 Linden Ave Ste 1
Long Beach, CA 90807-4520
Phone (562) 904-6031

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
I20190429000691 CA Order and Referring Only - Nurse Practitioner 4284976036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007355CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allsafe Medical Group Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tiffany.lin.p1@direct.fhccgla.nextgenshare.com

Organizations & group practices 1

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1790204659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 112",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "510-857-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 112",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "562-904-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622653",
            "country_code": "US",
            "telephone_number": "562-904-6031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 Linden Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074520",
            "country_code": "US",
            "telephone_number": "562-904-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.