IndividualActive
Tiffany Blackmon
NPI 1881002095 · Specialist · Rodeo, CA
Tiffany Blackmon is a Specialist provider in Rodeo, CA (NPI 1881002095).
Provider details
- NPI number
- 1881002095
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Shelley Ct
Rodeo, CA 94572-2009
Phone: (510) 691-3661
Street-level locationGet directions
Mailing address
700 Shelley Ct
Rodeo, CA 94572-2009
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Frequently asked questions
- What is Tiffany Blackmon's NPI number?
- Tiffany Blackmon's National Provider Identifier (NPI) is 1881002095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Blackmon's specialty?
- Tiffany Blackmon is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tiffany Blackmon located?
- Tiffany Blackmon's practice location on file with NPPES is 700 Shelley Ct, Rodeo, CA 94572-2009.
- What is Tiffany Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Blackmon is (510) 691-3661.
- Is Tiffany Blackmon's NPI active?
- Yes — Tiffany Blackmon's NPI (1881002095) is active in the NPPES registry as of the last update on 2014-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.