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

Tiffany Waters, PA

Individual provider Surgical Physician Assistant · NPI 1184652695

Tiffany Waters, PA is a Physician Assistant in Walnut Creek, California. Qualified in 2003, 23 years ago. Practices with Sonora Community Hospital, a 136-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone: (925) 939-8585
Fax: (925) 933-2709
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA17246 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA17246 (CA)

Record details

NPI number1184652695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESNovember 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sonora Community Hospital — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Walnut Creek