Active NPI
Tiffany A. Taskaya, PA-C
- Physician Assistant
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08285
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851416622 | Medicaid | NC |
Other names 1
- Tiffany A. Geahigan
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61038 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Diagnostics of California a Professional Corporation | Current | 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.
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.