Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tiffany Cereneche, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1093446957

Mary Tiffany Cereneche, NP-C is a Primary Care Nurse Practitioner in Laguna Beach, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

333 Thalia St
Laguna Beach, CA 92651-2713
Phone: (949) 499-0577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence NP95019956 (CA)

Record details

NPI number1093446957
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESMay 27, 2025
Certification dateJune 15, 2022

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