TIFFANY ANNE ETTERMAN DO
NPI 1023507464
Obstetrics & Gynecology in Torrance, CA

Q: What is Tiffany Etterman's NPI number?

The NPI number for Tiffany Etterman is 1023507464. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Tiffany Etterman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Etterman was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment

20911 EARL ST STE 440, TORRANCE, CA 90503(310) 793-2566(310) 419-8553 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Nov 18, 2025, May 1, 2018 (3 updates tracked since 2018).

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About Tiffany Anne Etterman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY ANNE ETTERMAN DO (NPI 1023507464) is an individual obstetrics & gynecology provider in Torrance, California, licensed in California (20A24460) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1023507464

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTIFFANY ANNE ETTERMANCredential: DO

Location Address20911 EARL ST STE 440Torrance, CA 90503-4355

Mailing Address20911 Earl St Ste 440Torrance, CA 90503-4355 · (310) 793-2566 · Fax (310) 419-8553

Phone(310) 793-2566

Fax(310) 419-8553

Sole ProprietorYes

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2018

Enumeration DateMay 1, 2018

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1023507464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · 20A24460✔ Licensed in MI · 5101023777

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20911 EARL ST STE 440, Torrance, CA 90503

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Secondary Practice Locations 2

Location 16500 Excelsior BlvdSt Louis Park, MN 55426-4702 · Phone (952) 993-3282

Location 220911 Earl St Ste 480Torrance, CA 90503-4355 · Phone (310) 793-2565 · Fax (424) 291-4114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Anne Etterman Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618232414

PECOS Enrollment IDI20220725000076, I20251117001038

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tiffany Etterman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Institute

0.2 mi

Family Medicine

4101 TORRANCE BLVD
Torrance, CA 90503

Reassigned Medicare billing, California enrollment
266 clinicians in this Medicare group

NPI 1235182569 (310) 793-8075

Park Nicollet Methodist Hospital

1,533 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVELYN DENEBEIM M.D.

Obstetrics & Gynecology