TIFFANY PIMENTEL SUDRC
NPI 1770368300
Counselor - Addiction (Substance Use Disorder) in Lucerne, CA

Q: What is Tiffany Pimentel's NPI number?

The NPI number for Tiffany Pimentel is 1770368300. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Q: What is Tiffany Pimentel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Pimentel was last updated on September 4, 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.

Active since August 30, 2023

6350 15TH AVE, LUCERNE, CA 95458(707) 998-1800 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 4, 2023, Aug 30, 2023 (2 updates tracked since 2023).

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About Tiffany Pimentel Sudrc NPPES

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

TIFFANY PIMENTEL SUDRC (NPI 1770368300) is an individual addiction (substance use disorder) provider in Lucerne, California, licensed in California (SUDRC16137) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1770368300

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTIFFANY PIMENTELCredential: SUDRC

Location Address6350 15TH AVELucerne, CA 95458-8628

Mailing AddressPo Box 366Clearlake Oaks, CA 95423-0366 · (707) 998-1800

Phone(707) 998-1800

Sole ProprietorNo

Enumeration DateAugust 30, 2023

Last NPPES UpdateSeptember 4, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2023

✔ NPI 1770368300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · SUDRC16137

6350 15TH AVE, Lucerne, CA 95458

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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 Pimentel's NPI number?

The NPI number for Tiffany Pimentel is 1770368300. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Tiffany Pimentel located?

Tiffany Pimentel practices at 6350 15th Ave, Lucerne, CA 95458. The listed phone number is (707) 998-1800.

What is Tiffany Pimentel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Pimentel was last updated on September 4, 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.