Active NPI
Tiffany Griffin
- Social Worker
- Rancho Cordova, CA
National Provider Identifier
1821866005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115514
- Practice address
- 2865 Sunrise Blvd Ste 200
Rancho Cordova, CA 95742-6104 - Phone
- (323) 505-2735
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 115514 | CA | Primary |
Addresses
Primary practice location
2865 Sunrise Blvd Ste 200
Rancho Cordova, CA 95742-6104
Mailing address
815 N la Brea Ave # 183
Inglewood, CA 90302-2205
Phone (323) 505-2735
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
| License | State | Type | Specialty |
|---|---|---|---|
| 115514 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1821866005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 N LA BREA AVE # 183",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903022205",
"telephone_number": "323-505-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 SUNRISE BLVD STE 200",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426104",
"telephone_number": "323-505-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "115514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.