1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

MS. TIFFANY DELORES JOHNSON N.P.
NPI 1437469269
Nurse Practitioner - Adult Health in Los Angeles, CA

Active since October 14, 2010PECOS Enrolled
400 W 30TH ST, LOS ANGELES, CA 90007(213) 284-3200 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Tiffany Delores Johnson N.p. NPPES

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

MS. TIFFANY DELORES JOHNSON N.P. (NPI 1437469269) is an individual adult health provider in Los Angeles, California, licensed in California (20314) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437469269
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. TIFFANY DELORES JOHNSONCredential: N.P.
Location Address400 W 30TH STLos Angeles, CA 90007-3320
Mailing Address400 W 30th StLos Angeles, CA 90007-3320 · (213) 284-3200
Phone(213) 284-3200
Sole ProprietorNo
Enumeration DateOctober 14, 2010
Last NPPES UpdateJune 29, 2022
✔ NPI 1437469269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 20314
400 W 30TH ST, Los Angeles, CA 90007
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tiffany Delores Johnson N.p. 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.

Medicare Billing Reassignments

2

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

Southern California Permanente Medical Group
5.2 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011
Northeast Valley Health Corporation
14 mi
Federally Qualified Health Center (FQHC)
7223 N. FAIR AVENUE
Sun Valley, CA 91352
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1013199264 (818) 432-4400

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 90007 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 20

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

DIANA BENITEZ WHNP, CNM
Nurse Practitioner (Women's Health)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
MARY GATTER M.D.
Obstetrics & Gynecology (Gynecology)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3211
CHELSEA DAWSON R.N.
Registered Nurse
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (800) 576-5544
BIVIANA CALLEJA LAGUNAS LCSW
Social Worker (Clinical)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (323) 891-6417
MS. HEATHER MARIE ONNIGIAN PA-C
Physician Assistant
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
MS. FABIOLA SILIS RN
Registered Nurse
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
ROSA M GALLARDO PA
Physician Assistant
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (323) 284-3119
KATHLEEN MAHAN NP
Nurse Practitioner
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3245

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 Johnson's NPI number?

The NPI number for Tiffany Johnson is 1437469269. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Tiffany Johnson located?

Tiffany Johnson practices at 400 W 30th St, Los Angeles, CA 90007. The listed phone number is (213) 284-3200.

What is Tiffany Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tiffany Johnson enrolled in Medicare?

Yes. Tiffany Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Johnson reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Northeast Valley Health Corporation (Sun Valley, CA). Each 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 Tiffany Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Johnson was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.