DR. JOHN J. TIERNEY M.D.
NPI 1952595076
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment
10543 AYRES AVENUE, LOS ANGELES, CA 90064(949) 838-4883 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John J. Tierney M.d. NPPES

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

DR. JOHN J. TIERNEY M.D. (NPI 1952595076) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2006).

NPPES Registry Identity

NPI1952595076
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN J. TIERNEYCredential: M.D.
Location Address10543 AYRES AVENUELos Angeles, CA 90064
Mailing Address10543 Ayres AvenueLos Angeles, CA 90064 · (949) 838-4883
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2006
Enumeration DateAugust 31, 2007
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1952595076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10543 AYRES AVENUE, Los Angeles, CA 90064

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

Dr. John J. Tierney M.d. 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 ID3274660519
PECOS Enrollment IDI20100419000732
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.

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 John Tierney's NPI number?

The NPI number for John Tierney is 1952595076. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is John Tierney located?

John Tierney practices at 10543 Ayres Avenue, Los Angeles, CA 90064. The listed phone number is (949) 838-4883.

What is John Tierney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Tierney enrolled in Medicare?

Yes. John Tierney 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 John Tierney was last updated on November 30, 2021. 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.