Active NPI
Tiffany Dawn Wilson, M.D., Inc.
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A70066
- Legal business name
- TIFFANY DAWN WILSON, M.D., INC.
- Practice address
- 4950 Barranca Pkwy
Suite 201
Irvine, CA 92604-4671 - Phone
- (949) 262-7075
- Fax
- (714) 899-4275
- NPI assigned
- Feb 26, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Dawn Wilson, M.D.
- Title
- Owner
- Phone
- (949) 262-7075
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70066 | CA | Primary |
Addresses
Primary practice location
4950 Barranca Pkwy
Suite 201
Irvine, CA 92604-4671
Mailing address
4950 Barranca Pkwy
Suite 201
Irvine, CA 92604-4671
Phone (949) 262-7075
National Provider Directory
National Provider Directory- Tax ID family
- Tiffany Dawn Wilson MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Irvine, CA
- NPI 1861595282
Practitioners & affiliated clinicians
Practitioners 1
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": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841326774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 BARRANCA PKWY",
"address_2": "SUITE 201",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044671",
"telephone_number": "949-262-7075",
"fax_number": "714-899-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 BARRANCA PKWY",
"address_2": "SUITE 201",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044671",
"telephone_number": "949-262-7075",
"fax_number": "714-899-4275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANY DAWN WILSON, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-262-7075",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.