TIFFANY DAMIKOLAS (NPI# 1730470337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730470337 |
| Entity Type | Individual |
| Full Name | TIFFANY DAMIKOLAS |
| Other Name | TIFFANY CRUNELLE |
| Credential | M.D. |
| Practice Address |
12751 Harbor Blvd Garden Grove CA 92840-5800 |
| Practice Telephone | 8884999303 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A123666 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12751 HARBOR BLVD |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982647939 | Jimmy Wu | Internal Medicine | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2006-06-14 |
| 1881125409 | Cynthia A Gonzalez | Family Medicine | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2017-03-24 |
| 1982098182 | David Fann | Family Medicine | 12751 Harbor Blvd, Garden Grove, CA 92840 | 2015-03-25 |
| 1942602354 | Lucrecia Toledo | Community Health Worker | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2014-09-17 |
| 1306190756 | Pharmedquest Pharmacy Services | Pharmacy | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2012-11-07 |
| 1679825798 | Yesselin C Torres | Case Manager/Care Coordinator | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2012-10-12 |
| 1225329832 | Maria Ysabel Silva | Case Manager/Care Coordinator | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2011-04-29 |
| 1598085201 | Sochil Plascencia | Case Manager/Care Coordinator | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2010-06-03 |
| 1083851992 | Altamed Health Services Corp | Clinic/Center | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2009-01-14 |
| 1396911798 | Edward Ko | Internal Medicine | 12751 Harbor Blvd, Garden Grove, CA 92840-5800 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104345339 | Christine Huynh Tran,m.d. Inc. | Pediatrics | 12665 Garden Grove Blvd Ste 204, Garden Grove, CA 92843-1916 | 2017-09-19 |
| 1447553276 | Francoise Raiola | Pediatrics | 12665 Garden Grove Blvd Ste 713, Garden Grove, CA 92843-1921 | 2010-12-16 |
| 1528138146 | Thua Vinh Md Inc | Pediatrics | 12655 Garden Grove Blvd, Room 309, Garden Grove, CA 92843 | 2006-11-09 |
| 1659451482 | Christine Huynh Tran | Pediatrics | 12555 Garden Grove Blvd., Ste. 304, Garden Grove, CA 92843 | 2006-10-16 |
| 1306935887 | Cathy M Chen Tsai | Pediatrics | 12751 Harbor Boulevard, Garden Grove, CA 92840-5800 | 2006-10-12 |
| 1003915125 | Thuy Thanh Nguyen | Pediatrics | 12302 Grdn Grove Blvd #27, Garden Grove, CA 92843 | 2006-09-22 |
| 1881704740 | Dongmin Suh | Pediatrics | 12555 Garden Grove Blvd Ste 406, Garden Grove, CA 92843-1904 | 2006-08-30 |
| 1750818399 | Anam Meraj | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-05-14 |
| 1508390766 | Kathleen Tzan | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-04-14 |
| 1174056402 | Kaylee Rae Parsons | Pediatrics | 12665 Garden Grove Blvd Ste 713, Garden Grove, CA 92843-1921 | 2017-04-04 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.