Tiffany Ilana Ross, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9119190 Issued in FL

Practice address

9857 Palma Vista Way
Boca Raton, FL 33428-3529

Phone

(057) 531-9503

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Tiffany Ilana Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• License to Inject, PLLC

  • Clinic/Center
  • Boca Raton, FL
  • NPI 1679375356
  NPD Authorized official
• Next Step Medical Inc.

  • Urgent Care Clinic/Center
  • Oceanside, CA
  • NPI 1164730404
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1891238465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9857 PALMA VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283529",
            "telephone_number": "305-753-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9857 PALMA VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283529",
            "telephone_number": "057-531-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TIFFANY",
        "middle_name": "ILANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54036",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54036",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "GREEN",
            "middle_name": "ILANA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Stuart Ross, M.D.
• Barton Philip Ross, D.D.S.
• Christine Ross
• Ian Aubrey Ross, PT
• Kenneth Lawrence Ross, M.D.
• Lynne Caren Rossler
• Kayla Jade Rossow
• Roth Chiropractic, PA
• Harvey C Roth, M.D.
• John David Roth, DC

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.