Healthcare Provider Details

I. General information

NPI: 1538906656
Provider Name (Legal Business Name): YASMIN TIRADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 S MILL ST
TEHACHAPI CA
93561-2027
US

IV. Provider business mailing address

16940 HIGHWAY 14 STE F
MOJAVE CA
93501-1238
US

V. Phone/Fax

Practice location:
  • Phone: 661-822-8223
  • Fax:
Mailing address:
  • Phone: 661-824-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: