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

Tiffany M Varchetto

Individual provider Physician Assistant · NPI 1558515593

Tiffany M Varchetto is a Physician Assistant in Los Angeles, California. Licensed in California and Illinois. Registered with an NPI since 2008.

Licensed in
CA, IL
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1860 S Sepulveda Blvd
Los Angeles, CA 90025-4314
Phone: (310) 473-5800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 21939 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085003293 (IL)

Record details

NPI number1558515593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2008
Last updated in NPPESJune 24, 2016

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