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

Tiffany B Capobianco, NUTRITIONCONSULTANT

Individual provider Physician Assistant · NPI 1083040448

Tiffany B Capobianco, NUTRITIONCONSULTANT is a Physician Assistant in Palm Desert, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

41990 Cook St Ste F2006
Palm Desert, CA 92211-6100
Phone: (760) 285-1221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6862 (CA)
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1083040448
Entity typeIndividual (Type 1)
GenderFemale
Credentials NUTRITIONCONSULTANT
Sole proprietorYes
NPI enumeratedSeptember 17, 2013
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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