Tiffany Jean
M.D. | Pediatrics | Female
Tiffany Jean, M.D. is a Orange, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tiffany Jean is
101 The City Dr S, Orange, California - 92868. She can be contacted on phone at
714-456-7890.
Tiffany Jean is a sole proprietor of her business.
NPI number (Unique professional ID) for Tiffany Jean is
1205182953 which was assigned by NPPES on 31 Jul, 2012 and it was last updated on 26 Jan, 2023.
Tiffany Jean license number is
A126760 for Pediatrics (208000000X) in California.
Tiffany Jean is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tiffany Jean basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tiffany Jean |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Tiffany Jean address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 101 The City Dr S
Orange, CA, 92868
United States |
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| Phone Number : | 714-456-7890 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205182953 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jul, 2012 |
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| Last Updated On : | 26 Jan, 2023 |
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Medicare Participation:
Tiffany Jean participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7214223650 |
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| Medicare Enrollment ID : | I20180622002628 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Northwestern University Feinberg Medical School |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Tiffany Jean accepts medicare insurance. |
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Group Practice Association:
Tiffany Jean is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tiffany Jean is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8030 | 1515 N Vermont Ave
Los Angeles, CA - 900275337
Ph: 3237834011 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 4725 -4733 Sunset Blvd
Los Angeles, CA - 900276021
Ph: 3237834011 | Yes |
| Southern California Permanente Medical Group | 6002729175 | 8030 | 4733 W Sunset Blvd
Los Angeles, CA - 900276021
Ph: 2136674784 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tiffany Jean are as mentioned. Primary taxonomy code for Tiffany Jean, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A126760 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Tiffany Jean such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 390200000X | Other (non-Medicare) | | Student, Health Care |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1000 W CARSON ST,
TORRANCE, CA, 90502-2004
United States | TORRANCE, CA | 714-623-1475 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 4760 W Sunset Blvd,
Los Angeles, CA, 90027-6063
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 101 The City Dr S
Orange, CA, 92868-3201
United States |
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Business Location:
Patients can refer following map for directions to
Tiffany Jean practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.