PROF. TISHA MALLON L.AC., DIPL.AC.
NPI 1588082911
Acupuncturist in Corte Madera, CA

Active since April 02, 2014
21 TAMAL VISTA BLVD, CORTE MADERA, CA 94925(415) 378-3039 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prof. Tisha Mallon L.ac., Dipl.ac. NPPES

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

PROF. TISHA MALLON L.AC., DIPL.AC. (NPI 1588082911) is an individual acupuncturist in Corte Madera, California, licensed in California (AC 4302) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1588082911
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NamePROF. TISHA MALLONCredential: L.AC., DIPL.AC.
Location Address21 TAMAL VISTA BLVDCorte Madera, CA 94925-1130
Mailing Address56 Belle AveFairfax, CA 94930-1727 · (415) 378-3039
Sole ProprietorYes
Enumeration DateApril 2, 2014
Last NPPES UpdateDecember 18, 2019
NPI 1588082911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · AC 4302
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
21 TAMAL VISTA BLVD, Corte Madera, CA 94925

Other Names 1

Professional Name (2)Ms. Tisha Mallon L.ac., Dipl.ac.

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.

Psychiatry & Neurology (Psychiatry)
21 TAMAL VISTA BLVD, 224
CORTE MADERA, CA 94925
Clinic/Center (Mental Health (Including Community Mental Health Center))
21 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
Internal Medicine
21 TAMAL VISTA BLVD, STE. 100
CORTE MADERA, CA 94925
Marriage & Family Therapist
21 TAMAL VISTA BLVD, SUITE 224
CORTE MADERA, CA 94925
Marriage & Family Therapist
21 TAMAL VISTA BLVD, SUITE 200
CORTE MADERA, CA 94925
Psychologist (Clinical)
21 TAMAL VISTA BLVD, SUITE 203
CORTE MADERA, CA 94925
Marriage & Family Therapist
21 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
Counselor (Professional)
21 TAMAL VISTA BLVD, SUITE 116
CORTE MADERA, CA 94925

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 Tisha Mallon's NPI number?

The NPI number for Tisha Mallon is 1588082911. It was assigned to this individual provider in the NPPES registry on April 2, 2014. The provider is also known as Ms. Tisha Mallon L.Ac., Dipl.Ac..

Where is Tisha Mallon located?

Tisha Mallon practices at 21 Tamal Vista Blvd, Corte Madera, CA 94925. The listed phone number is (415) 378-3039.

What is Tisha Mallon's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Tisha Mallon was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.