TIFFANY DE JESUS – Family Nurse Practitioner, NPI 1447799739
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for TIFFANY DE JESUS
1310 SAN BERNARDINO RD STE 105
UPLAND, CA 917864985
Phone: (909) 429-2864
Type: Mailing
26922 Oso Pkwy Ste 380
Mission Viejo, CA 926915800
Phone: (949) 305-0110
Fax: (949) 305-0101
Type: Location
552, North Wabash Avenue, Glendora, Los Angeles County, California, 91741, United States
GLENDORA, CA 91741
Phone: (909) 291-5779
Type: Mailing
Pomona Valley Hospital Medical Center, 1798, North Garey Avenue, Pomona, Los Angeles County, California, 91767, United States
POMONA, CA 91767
Phone: (909) 865-9501
Type: Location
26922 OSO PKWY STE 380
MISSION VIEJO, CA 926915800
Phone: (949) 305-0110
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $760.
Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Astellas Pharma US Inc ($117).
Total Amount
$760
General + Research + Ownership
Payments
35
Total payment records
General Amount
$760
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230815002543 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91786)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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