Alyssa Tijero

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1401 Lakewood Ave Apt 140
Modesto, CA 95355-3579

Phone

(408) 422-8804

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1881371284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LAKEWOOD AVE APT 140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553579",
            "telephone_number": "408-422-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LAKEWOOD AVE APT 140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553579",
            "telephone_number": "408-422-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERO",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudence Ticknor, RD
• Alexis Tidball, ASW
• Meletupou Tighe
• Elizabeth Tigner
• Jose Benjamin Tijerina, M.S.W.
• Elizabeth Tillman
• Matthew Laurence Tilstra, MD
• Hajra I Tily, M.D
• Timothy Yao, M.D., Inc.
• Llanth Tinajero Rios

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.