TIFFANY LY (NPI# 1093018947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093018947 |
| Entity Type | Individual |
| Full Name | TIFFANY LY |
| Credential | BA |
| Practice Address |
3611 S Harbor Blvd Santa Ana CA 92704-6928 |
| Mailing Address |
3611 S. Harbor Blvd. Santa Ana CA 92704 |
| Practice Telephone | 7149668650 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215053 | Tiffany Ly | Behavior Technician | 22283 Main St, Hayward, CA 94541-4004 | 2020-01-27 |
| 1891204772 | Tiffany Tracy Ly | Physician Assistant | 10503 W Thunderbird Blvd Ste 317, Sun City, AZ 85351-3049 | 2017-09-23 |
| 1235428038 | Tiffany Ly | Internal Medicine | 1300 Crane St, Menlo Park, CA 94025-4260 | 2011-04-01 |
| Street Address |
3611 S HARBOR BLVD |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780771253 | Ralph Gunther Kuechle | Psychologist | 3611 S Harbor Blvd, Suite 100, Santa Ana, CA 92704-6928 | 2006-10-06 |
| 1881074268 | Pauline Margaret Bravo | Counselor | 3611 S Harbor Blvd, Santa Ana, CA 92704 | 2015-06-01 |
| 1659702488 | Isabel Lorenzana-montes | Counselor | 3611 S Harbor Blvd, Ste 100, Santa Ana, CA 92704-6928 | 2013-12-04 |
| 1891064838 | Christopher Paul Populus | Counselor | 3611 S Harbor Blvd, Ste. 100, Santa Ana, CA 92704-6928 | 2011-12-20 |
| 1457642878 | Edson Maurino Diaz | Counselor | 3611 S Harbor Blvd, Santa Ana, CA 92704-6928 | 2011-04-20 |
| 1255630760 | Syreeta Theroith | Counselor | 3611 S Harbor Blvd, Ste 100, Santa Ana, CA 92704-6928 | 2011-03-23 |
| 1487952982 | Melissa Jimenez | Marriage & Family Therapist | 3611 S Harbor Blvd, Ste 100, Santa Ana, CA 92704-6928 | 2011-03-08 |
| 1336444678 | Josephine Ida Sandoval | Counselor | 3611 S Harbor Blvd, Suite 100, Santa Ana, CA 92704-6928 | 2011-01-18 |
| 1528377371 | Sandra E Campos | Counselor | 3611 S Harbor Blvd, Suite 200, Santa Ana, CA 92704 | 2010-09-28 |
| 1689980658 | Norma Lopez Huizar | Counselor | 3611 S Harbor Blvd, Santa Ana, CA 92704-6928 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020911 | Benjamin Ross | Counselor | 3785 S Plaza Drive, Santa Ana, CA 92704-7463 | 2019-12-18 |
| 1962051235 | Armando Perez Navarrette Jr. | Counselor | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2019-09-09 |
| 1811450042 | Giovanna Marie Piazza | Counselor | 2318 Bonnie Brae, Santa Ana, CA 92706-1603 | 2019-04-14 |
| 1861908220 | Teresa Bowdry | Counselor | 1615 17th St, Suite 100, Santa Ana, CA 92705 | 2017-12-21 |
| 1952820730 | Rebecca Gabriela Terrones | Counselor | 1615 E. 17th St., Santa Ana, CA 92705 | 2017-09-13 |
| 1801313630 | Jesse Lopez | Counselor | 2130 East Fouth Street, Suite 200, Santa Ana, CA 92705 | 2017-08-23 |
| 1841710159 | Alan Olmedo | Counselor | 1615 E 17th Street, Santa Ana, CA 92705 | 2017-06-27 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1427407642 | Mariella I Ayllon | Counselor | 1615 E 17th St., #100, Santa Ana, CA 92705 | 2016-06-08 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| Find all providers in SANTA ANA | ||||
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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.