Tiffanee Reagan, RN
Registered Nurse, Emergency in Tarzana, CA. Individual provider (NPI-1).
NPI number1376398263
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1376398263
- Entity type
- Individual (NPI-1)
- Name
- Tiffanee Reagan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 95294861 | CA | Yes |
Practice location
18321 Clark StTarzana, CA 91356-3501
Phone 818-881-0800
Mailing address
30921 Carmen DrCanyon Country, CA 91390-1422
Phone 661-313-8174
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