Individual provider Active NPI

Tiffany A. Taskaya, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1851416622
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08285 Issued in NC
Practice address
3711 University Dr Ste B
Durham, NC 27707-2654
Phone
(919) 752-4028
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1125 MA
Physician Assistant 363A00000X 0010-08285 NC Primary

Addresses

Primary practice location

3711 University Dr Ste B
Durham, NC 27707-2654

Mailing address

636 Mountain Pine Dr
Cary, NC 27519-9616
Phone (617) 823-0347

Other identifiers 1

IdentifierTypeStateIssuer
1851416622MedicaidNC

Other names 1

  • Tiffany A. Geahigan Former name

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
I20250522001478 CA Practitioner - Physician Assistant 3375721624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 N San Vicente Blvd
Simonmed Imaging San Vicente
Beverly Hills, CA 90211-2303
Phone (323) 433-7800

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

24022 Calle de la Plata
Suite 100
Laguna Hills, CA 92653-3627
Phone (949) 330-8996

3650 Holboro Dr
Los Angeles, CA 90027-1432
Phone (480) 306-6949

499 N El Camino Real
C100 Simonmed Imaging Encinitas
Encinitas, CA 92024-1347
Phone (760) 334-4065

635 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2801
Phone (949) 506-5316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61038CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation CurrentSince Apr 14, 2025 Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1851416622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MOUNTAIN PINE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199616",
            "telephone_number": "617-823-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 UNIVERSITY DR STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072654",
            "telephone_number": "919-752-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKAYA",
        "first_name": "TIFFANY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1125",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851416622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "GEAHIGAN",
            "middle_name": "A.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.