MARY TIFFANY CERENECHE NP-C
NPI 1093446957
Nurse Practitioner - Primary Care in Laguna Beach, CA

Q: What is Mary Tiffany Cereneche's NPI number?

The NPI number for Mary Tiffany Cereneche is 1093446957. It was assigned to this individual provider in the NPPES registry on June 22, 2022. The provider is also known as Mary Tiffany Dara Cereneche Np-C.

Q: What is Mary Tiffany Cereneche's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since June 22, 2022PECOS Enrolled

333 THALIA ST, LAGUNA BEACH, CA 92651(949) 499-0577 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Tiffany Cereneche Np-c NPPES

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

MARY TIFFANY CERENECHE NP-C (NPI 1093446957) is an individual primary care provider in Laguna Beach, California, licensed in California (NP95019956) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093446957

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARY TIFFANY CERENECHECredential: NP-C

Location Address333 THALIA STLaguna Beach, CA 92651-2713

Mailing Address25 SilkberryIrvine, CA 92614-7480 · (757) 618-3763

Phone(949) 499-0577

Sole ProprietorNo

Enumeration DateJune 22, 2022

Last NPPES UpdateMay 27, 2025

NPPES CertifiedJune 15, 2022

✔ NPI 1093446957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · NP95019956

333 THALIA ST, Laguna Beach, CA 92651

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Other Names 1

Other Name (5)Mary Tiffany Dara Cereneche Np-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Tiffany Cereneche Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 5

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

MIRANDA LEIGH NAYLOR DO

Family Medicine