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

Tiffany Blackmon

Individual provider Specialist · NPI 1881002095

Tiffany Blackmon is a Specialist in Rodeo, California. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

700 Shelley Ct
Rodeo, CA 94572-2009
Phone: (510) 691-3661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1881002095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 31, 2014