SHYLEE SKIN WELLNESS AND FAMILY PRACTICE
NPI 1124745161
Nurse Practitioner - Family in Rancho Cucamonga, CA

Active since October 20, 2022
10570 FOOTHILL BLVD STE 220, RANCHO CUCAMONGA, CA 91730(909) 808-4888 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 8, 2023, Oct 20, 2022 (2 updates tracked since 2022).

About Shylee Skin Wellness And Family Practice NPPES

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

SHYLEE SKIN WELLNESS AND FAMILY PRACTICE (NPI 1124745161) is a healthcare organization registered as a family in Rancho Cucamonga, California and active in the NPI registry since October 2022. The organization lists Shylee Baustista Tiamson, Authorized Office / Owner, as its authorized official.

NPPES Registry Identity

NPI1124745161
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTIAMSON INC
Location Address10570 FOOTHILL BLVD STE 220Rancho Cucamonga, CA 91730-3876
Mailing Address10570 Foothill Blvd Ste 220Rancho Cucamonga, CA 91730-3876 · (909) 808-4888
Organization SubpartNo
Authorized OfficialShylee Baustista TiamsonAuthorized Office / Owner · (909) 808-4888
Enumeration DateOctober 20, 2022
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1124745161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
10570 FOOTHILL BLVD STE 220, Rancho Cucamonga, CA 91730

Other Names 1

Doing Business AsShylee Skin Wellness And Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shylee Skin Wellness And Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Shylee Skin Wellness And Family Practice, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1104414101
100 N BARRANCA ST STE 900
West Covina, CA 91791
(626) 206-0523
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1063684546
100 N BARRANCA ST STE 900
West Covina, CA 91791
(626) 206-0523
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1932448024
7000 BOULDER AVE
Highland, CA 92346
(909) 862-1191
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1962879726
3860 TORREY ST
Baldwin Park, CA 91706
(626) 404-8190
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1407254881
12340 SEAL BEACH BLVD # B-187
Seal Beach, CA 90740
(310) 864-8885
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1356117311
1718 W 38TH PL
Los Angeles, CA 90062
(323) 819-6617
✔ PECOS✔ Accepts Medicare43 mi
Emergency Medicine
NPI 1659756906
4002 VISTA WAY
Oceanside, CA 92056
(760) 940-3707
✔ PECOS✔ Accepts Medicare66 mi
General Practice
NPI 1396940854
142 ENCINITAS BLVD
Encinitas, CA 92024
(760) 230-1888
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1609614650
8899 LA MANGA AVE
Las Vegas, NV 89147
(808) 393-9283
✔ PECOS✔ Accepts Medicare189 mi

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

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 Tiamson Inc's NPI number?

The NPI number for Tiamson Inc is 1124745161. It was assigned to this organization in the NPPES registry on October 20, 2022. The provider is doing business as Shylee Skin Wellness And Family Practice.

Where is Tiamson Inc located?

Tiamson Inc is located at 10570 Foothill Blvd Ste 220, Rancho Cucamonga, CA 91730. The listed phone number is (909) 808-4888.

What is Tiamson Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiamson Inc enrolled in Medicare?

Yes. Tiamson Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tiamson Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Tiamson Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Emergency Medicine (1) and General Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tiamson Inc was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.