Organization Active NPI

Tiffany Chin

Doing business as Thomas Brenner, OD

  • Health Service Clinic/Center
  • Auburn, CA
National Provider Identifier
1811453004
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TIFFANY CHIN
Doing business as
Thomas Brenner, OD
Practice address
52 College Way
Auburn, CA 95603-5001
Phone
(530) 823-8353
Fax
(530) 823-8355
NPI assigned
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Tiffany ChinNPI 1295250488
Title
Owner
Phone
(510) 381-8371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

52 College Way
Auburn, CA 95603-5001

Mailing address

52 College Way
Auburn, CA 95603-5001
Phone (530) 823-8353

Other names 1

  • Thomas Brenner, OD Doing business as

National Provider Directory

National Provider Directory

Locations

52 College Way
Auburn, CA 95603
Phone (530) 823-8353

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1811453004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "530-823-8353",
            "fax_number": "530-823-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "530-823-8353",
            "fax_number": "530-823-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY CHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-381-8371"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Brenner, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.