Tiffany De Jesus
Tiffany De Jesus is a Nurse Practitioner in Upland, California. Qualified in 2022, 4 years ago. Practices with Cucamonga Valley Medical Group Inc, a 24-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
1310 San Bernardino Rd Ste 105Upland, CA 91786-4985
Phone: (909) 429-2864
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 26922 Oso Pkwy Ste 380, Mission Viejo, CA 92691-5800 — (949) 305-0110
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 95022332 (CA) |
|---|---|
| Diabetes Educator Registered Nurse | Taxonomy 163WD0400X · Licence 720787 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 720787 (CA) |
Record details
| NPI number | 1447799739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 20, 2017 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
| Mailing address | 1310 San Bernardino Rd Ste 105, Upland, CA 91786-4985 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Cucamonga Valley Medical Group Inc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |