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

Individual provider Physician Assistant · NPI 1033993266

Tiffany Kim, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Crovetti Bone and Joint Institute of Southern Nevada, an 11-clinician group and accepts Medicare assignment. Licensed in Nevada and Virginia.

Years since qualifying
3
Licensed in
NV, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

302 E Carson Ave Fl 10
Las Vegas, NV 89101-5905
Phone: (855) 434-7763
Fax: (949) 281-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3007 (NV)
Physician Assistant Taxonomy 363A00000X (VA)

Record details

NPI number1033993266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 21, 2023
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Crovetti Bone And Joint Institute Of Southern Nevada — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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