TIFFANY DE JESUS
NPI 1447799739
Nurse Practitioner - Family in Upland, CA

Active since February 20, 2017PECOS EnrolledAccepts Medicare Assignment
1310 SAN BERNARDINO RD STE 105, UPLAND, CA 91786(909) 429-2864 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Aug 25, 2022, Mar 29, 2021 and 1 more (4 updates tracked since 2017).

About Tiffany De Jesus NPPES

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

TIFFANY DE JESUS (NPI 1447799739) is an individual family provider in Upland, California, licensed in California (95022332) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Viejo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447799739
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY DE JESUS
Location Address1310 SAN BERNARDINO RD STE 105Upland, CA 91786-4985
Mailing Address1310 San Bernardino Rd Ste 105Upland, CA 91786-4985 · (909) 429-2864
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2017
Last NPPES UpdateJuly 19, 20234 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1447799739 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
License Licensed in CA · 95022332
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 720787 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 720787 (CA)
1310 SAN BERNARDINO RD STE 105, Upland, CA 91786

Secondary Practice Location 1

Location 126922 Oso Pkwy Ste 380Mission Viejo, CA 92691-5800 · Phone (949) 305-0110 · Fax (949) 305-0101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany De Jesus 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 ID7911369475
PECOS Enrollment IDI20230815002543
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 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

Physician Assistant (Medical)
1310 SAN BERNARDINO RD STE 105
UPLAND, CA 91786
Nurse Practitioner (Family)
1310 SAN BERNARDINO RD STE 105
UPLAND, CA 91786

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 De Jesus's NPI number?

The NPI number for Tiffany De Jesus is 1447799739. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Tiffany De Jesus located?

Tiffany De Jesus practices at 1310 San Bernardino Rd Ste 105, Upland, CA 91786. The listed phone number is (909) 429-2864.

What is Tiffany De Jesus's specialty?

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

Is Tiffany De Jesus enrolled in Medicare?

Yes. Tiffany De Jesus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tiffany De Jesus was last updated on July 19, 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.