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TIARA SHELLEY
NPI 1902760135
Physician Assistant in Los Angeles, CA

Active since December 11, 2025
12021 WILMINGTON AVE STE 300, LOS ANGELES, CA 90059(424) 454-6041 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiara Shelley NPPES

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

TIARA SHELLEY (NPI 1902760135) is an individual physician assistant in Los Angeles, California and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1902760135
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIARA SHELLEY
Location Address12021 WILMINGTON AVE STE 300Los Angeles, CA 90059-3019
Mailing Address4305 W 120th St Apt DHawthorne, CA 90250-3024
Phone(424) 454-6041
Sole ProprietorYes
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1902760135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12021 WILMINGTON AVE STE 300, Los Angeles, CA 90059
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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.

MR. GUILLERMO FELIX JR.
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-2024
AINSLEY P REYNOLDS
Social Worker
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6042
FRANKIE CALANCHE LOPEZ SUDRC #21225
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6042
WENDY GARCIA
Community Health Worker
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6199
ALEXANDER RAMIREZ-RAMIREZ CTRS
Recreation Therapist
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6045
BREIAUNTE DEBAUN LVN
Licensed Vocational Nurse
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6042
KAREN PAOLA GARCIA HERNANDEZ ACSW
Social Worker (Clinical)
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6077
ERAINNA YOAKUM SUD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6041

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 Tiara Shelley's NPI number?

The NPI number for Tiara Shelley is 1902760135. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Tiara Shelley located?

Tiara Shelley practices at 12021 Wilmington Ave Ste 300, Los Angeles, CA 90059. The listed phone number is (424) 454-6041.

What is Tiara Shelley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tiara Shelley was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.