Tiffany Katuls, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21100 Issued in CA

Practice address

5857 Pine Ave
Chino Hills, CA 91709-6536

Phone

(909) 287-7474

NPI assigned

Sep 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1982911012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 STONEVIEW RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398931",
            "telephone_number": "909-648-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 PINE AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096536",
            "telephone_number": "909-287-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATULS",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melvin Kantono, DO
• Parminder Kaur
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• Katayoun Khalighi, MD
• Wajiha Khan, MD

• Physician Assistant in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.