TIFFANY P ZAKEN (NPI# 1780228445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780228445 |
| Entity Type | Individual |
| Full Name | TIFFANY P ZAKEN |
| Credential | PA-C |
| Practice Address |
4968 Booth Cir Ste 101 Irvine CA 92604-3366 |
| Mailing Address |
26 Havenwood Irvine CA 92614-5435 |
| Practice Telephone | 9497537475 |
| Mailing Telephone | 9179741533 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4968 BOOTH CIR STE 101 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104294305 | Holly Boyce Demetrescu | Physician Assistant | 17 Foxglove Way, Irvine, CA 92612-2712 | 2015-09-04 |
| 1477995504 | Nelson Aguilar | Physician Assistant | 8134 Spectrum, Irvine, CA 92618-7359 | 2013-07-17 |
| 1821396862 | Angeline Cici Chen | Physician Assistant | 17305 Von Karman Ave Ste 101-107, Irvine, CA 92614-0963 | 2011-02-28 |
| 1578868998 | Y Nha Thi Thi Dinh | Physician Assistant | 17305 Von Karman Ave, Irvine, CA 92614-0963 | 2011-01-14 |
| 1427199751 | Chad Serrao | Physician Assistant | 6825 Quail Hill Pkwy, Irvine, CA 92603-4234 | 2007-02-09 |
| 1700936887 | Shirley M Gray | Physician Assistant | Uci Student Health Ctr, 501 Student Health, Irvine, CA 92697-5200 | 2007-01-11 |
| 1144252230 | William Jason | Physician Assistant | 2362 Morse Ave, Irvine, CA 92614-6234 | 2006-07-07 |
| 1063783413 | Evelyn Lillian Nguyen | Physician Assistant | 2192 Martin Ste 110, Irvine, CA 92612-1484 | 2012-01-17 |
| 1487949251 | Samantha Jill Cohen | Physician Assistant | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2011-06-09 |
| 1497056824 | Tracy Melinda Arsenault | Physician Assistant | 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | 2010-11-17 |
| Find all providers in IRVINE | ||||
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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.