TIFFANY SONG (NPI# 1235784034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235784034 |
| Entity Type | Individual |
| Full Name | TIFFANY SONG |
| Practice Address |
3100 Telegraph Ave Oakland CA 94609-3239 |
| Mailing Address |
905 Celestine Cir Vacaville CA 95687-7854 |
| Practice Telephone | 5108799200 |
| Mailing Telephone | 7077610093 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
95066323 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF NURSING | 95066323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679751077 | Tiffany Tipton Song | Social Worker | 20 Cedar Blvd, Suite 305, Pittsburgh, PA 15228-1330 | 2008-02-07 |
| Street Address |
3100 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313237 | East Bay Family Practice Medical Group Inc | Family Medicine | 3100 Telegraph Ave, Ste 2109, Oakland, CA 94609-3210 | 2005-08-16 |
| 1861091225 | Amberlee Amaral | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-10-17 |
| 1699382325 | Carly Callen Dunlap | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-27 |
| 1356958466 | Minjung Kim | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-23 |
| 1326654971 | Nathan Namanny | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-18 |
| 1598371486 | Shani Samedi | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-16 |
| 1831708569 | Lindsay Nishi Fisher | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-07-29 |
| 1023636305 | Shi Zhang | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-07-13 |
| 1235759218 | Michael Matias | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-04-20 |
| 1316574239 | Jasdeep Singh Jassar | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009441 | Rona Juszczyk | Registered Nurse | 672 42nd St, Oakland, CA 94609-2339 | 2020-09-28 |
| 1972114650 | Gregory James Markman | Registered Nurse | 2181 Trafalgar Pl, Oakland, CA 94611-3245 | 2020-08-14 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1598371486 | Shani Samedi | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-16 |
| 1831708569 | Lindsay Nishi Fisher | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-07-29 |
| 1235759218 | Michael Matias | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-04-20 |
| 1083263958 | Marlise Steward | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2019-09-04 |
| 1447648605 | Ethan Bushman | Registered Nurse | 3600 Broadway, Oakland, CA 94611-5730 | 2014-12-22 |
| 1386977700 | Stephen Daniel Ingerson | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2009-09-16 |
| 1447385109 | Mary Mcilroy | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2007-02-22 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.