Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY ANN CERVENAK NP
NPI 1104803543
Nurse Practitioner in Laguna Hills, CA

Active since December 28, 2005
24012 CALLE DE LA PLATA, SUITE 150, LAGUNA HILLS, CA 92653(949) 837-1578(949) 837-8154 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Ann Cervenak Np NPPES

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

TIFFANY ANN CERVENAK NP (NPI 1104803543) is an individual nurse practitioner in Laguna Hills, California, licensed in California (10177) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1104803543
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY ANN CERVENAKCredential: NP
Location Address24012 CALLE DE LA PLATA, SUITE 150Laguna Hills, CA 92653-3621
Mailing Address3080 Bristol St, Suite 600Costa Mesa, CA 92626-3093 · (714) 445-0220 · Fax (714) 445-0245
Fax(949) 837-8154
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1104803543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 10177
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
24012 CALLE DE LA PLATA, Laguna Hills, CA 92653

Other Providers at the Same Location NPPES 20

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

Physical Therapist
24012 CALLE DE LA PLATA, SUITE 355
LAGUNA HILLS, CA 92653
Internal Medicine (Cardiovascular Disease)
24012 CALLE DE LA PLATA, STE 150
LAGUNA HILLS, CA 92653
Audiologist-Hearing Aid Fitter
24012 CALLE DE LA PLATA, SUITE 210
LAGUNA HILLS, CA 92653
Physical Therapist (Pediatrics)
24012 CALLE DE LA PLATA, SUITE 355
LAGUNA HILLS, CA 92653
Nurse Practitioner (Family)
24012 CALLE DE LA PLATA, SUITE 150 & 230
LAGUNA HILLS, CA 92653
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
24012 CALLE DE LA PLATA, SUITE 150
LAGUNA HILLS, CA 92653
In Home Supportive Care
24012 CALLE DE LA PLATA, SUITE 400A
LAGUNA HILLS, CA 92653
Specialist
24012 CALLE DE LA PLATA, 345
LAGUNA HILLS, CA 92653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Cervenak's NPI number?

The NPI number for Tiffany Cervenak is 1104803543. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Tiffany Cervenak located?

Tiffany Cervenak practices at 24012 Calle De La Plata Suite 150, Laguna Hills, CA 92653. The listed phone number is (949) 837-1578.

What is Tiffany Cervenak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Cervenak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.