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Search › California › 363A00000X

Tiffany Nickerson

NPI 1336693605 · on the registry since 2016

Practice

Address
7512 Morro Rd
Atascadero, CA 93422
Phone
(805) 792-1400
Fax
(805) 792-1485
Organisation at this address
William K. Ebert, M.D.
Community Health Centers Of The Central Coast Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California