| Tiffany Dawn Wilson, M.d., Inc. | |
|
37 Creek Rd Bldg A Suite 140 Irvine CA 92604 | |
| (949) 559-4480 | |
| (949) 262-7072 |
| Full Name | Tiffany Dawn Wilson, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 37 Creek Rd Bldg A, Irvine, California |
| Authorized Official Name and Position | Tiffany D Wilson (OWNER) |
| Authorized Official Contact | 9495594480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Wilson, M.d., Inc. Po Box 1744 Suisun City CA 94585-4744 Ph: (657) 241-3600 | Tiffany Dawn Wilson, M.d., Inc. 37 Creek Rd Bldg A Suite 140 Irvine CA 92604 Ph: (949) 559-4480 |
| NPI Number | 1861595282 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 4688669146 |
|---|---|
| Medicare Enrollment ID | O20040415000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861595282 | NPI | - | NPPES |
| CB280062 | Other | CA | MEDICARE PTAN |
| DY3730 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tiffany D Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877057 PECOS PAC ID: 9537154091 Enrollment ID: I20040416000306 |
New Skin And Body Aesthetics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4980 Barranca Parkway, 201, Irvine, CA 92604 Phone: 949-485-2100 | |
Synergy Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4330 Barranca Pkwy Ste 245, Irvine, CA 92604 Phone: 949-273-2888 Fax: 949-273-2801 | |
Tekyogi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Shadow Oaks, Irvine, CA 92618 Phone: 408-828-9909 | |
Pci Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 Michelson Dr, Suite 260, Irvine, CA 92612 Phone: 714-462-8181 Fax: 888-504-6948 | |
Elain Wen-shang Tong, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Endeavor Ste 304, Irvine, CA 92618 Phone: 714-556-8664 Fax: 714-556-8665 | |
Oc Housecalls, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3943 Irvine Blvd # 233, Irvine, CA 92602 Phone: 714-426-5300 Fax: 714-417-9578 | |
Kcs Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 250, Irvine, CA 92612 Phone: 714-503-6550 Fax: 714-409-3075 |