Individual provider Active NPI

Tiffany Leighanne Barajas, FNP

  • Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1902454002
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012114 Issued in CA
Practice address
13526 Beverly Blvd
Whittier, CA 90601-3712
Phone
(562) 298-8313
NPI assigned
Sep 1, 2019
Last updated
Sep 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012114 CA Primary

Addresses

Primary practice location

13526 Beverly Blvd
Whittier, CA 90601-3712

Mailing address

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511
Phone (310) 532-4200

Other names 1

  • Tiffany Leighanne Barajas Professional 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
I20200217002312 CA Practitioner - Nurse Practitioner 4587091301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

2205 W Beverly Blvd
Montebello, CA 90640-2301
Phone (323) 728-0321

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012114CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Feb 15, 2023 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Feb 15, 2023 Accepting new patients
Redondo Emergency Physicians, Inc. CurrentSince Jan 17, 2020 Accepting new patients
East Valley Emergency Medical Associates, Inc CurrentSince Oct 1, 2021 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

12214 Lakewood Blvd
Ste 110
Downey, CA 90242
Phone (562) 862-2775

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1902454002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473511",
            "telephone_number": "310-532-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 BEVERLY BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013712",
            "telephone_number": "562-298-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "TIFFANY",
        "middle_name": "LEIGHANNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BARAJAS",
            "middle_name": "LEIGHANNE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.