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MS. TIFFANY SIDRA TAYLOR-MDUBA APRN
NPI 1508500760
Nurse Practitioner - Pediatrics in Yucca Valley, CA

Active since April 25, 2022PECOS Enrolled
58375 TWENTYNINE PALMS HWY, SUITE B, YUCCA VALLEY, CA 92284(760) 365-9305 Get Directions Write a Review

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

About Ms. Tiffany Sidra Taylor-mduba Aprn NPPES

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

MS. TIFFANY SIDRA TAYLOR-MDUBA APRN (NPI 1508500760) is an individual pediatrics provider in Yucca Valley, California, licensed in California (95020695) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508500760
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. TIFFANY SIDRA TAYLOR-MDUBACredential: APRN
Location Address58375 TWENTYNINE PALMS HWY, SUITE BYucca Valley, CA 92284
Mailing Address7760 Balsa AveYucca Valley, CA 92284-8500 · (267) 648-0351
Phone(760) 365-9305
Sole ProprietorNo
Enumeration DateApril 25, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1508500760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95020695
Also ListedRegistered NurseTaxonomy 163W00000X · License 818748 (CA)
58375 TWENTYNINE PALMS HWY, Yucca Valley, CA 92284
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Other Names 1

Other Name (5)Tiffany Sidra Mduba

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 Sidra Taylor-mduba Aprn 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 Reassignment

Medicare enrollment records show Tiffany Taylor-mduba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hi-Desert Memorial Health Care District
19 mi
Federally Qualified Health Center (FQHC)
6380 SPLIT ROCK AVE STE
29 Palms, CA 92277
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1053733527 (760) 365-9305

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 92284 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.

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 Taylor-mduba's NPI number?

The NPI number for Tiffany Taylor-mduba is 1508500760. It was assigned to this individual provider in the NPPES registry on April 25, 2022. The provider is also known as Tiffany Sidra Mduba.

Where is Tiffany Taylor-mduba located?

Tiffany Taylor-mduba practices at 58375 Twentynine Palms Hwy Suite B, Yucca Valley, CA 92284. The listed phone number is (760) 365-9305.

What is Tiffany Taylor-mduba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tiffany Taylor-mduba enrolled in Medicare?

Yes. Tiffany Taylor-mduba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Taylor-mduba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Taylor-mduba reassigns Medicare benefits to Hi-Desert Memorial Health Care District (29 Palms, CA). The 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 Taylor-mduba'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 Taylor-mduba was last updated on April 25, 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.