TIFFANY A. ETTERMAN DO – NPI #1023507464
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

TIFFANY ETTERMAN is a physician located in TORRANCE, CA. NPPES has assigned the NPI number 1023507464 to TIFFANY ETTERMAN on May 01, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Jan 02, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIFFANY ETTERMAN below.

NPI Profile for
TIFFANY A. ETTERMAN

NPI Number
1023507464
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TIFFANY A. ETTERMAN
Credentials
DO
Primary location
20911 EARL ST STE 440
TORRANCE, CA 90503-4355
Phone: (310) 793-2566 Fax: (310) 419-8553
2 Other location(s):
20911 Earl St Ste 480
Torrance, CA 90503-4355
Phone: (310) 793-2565
Fax: (424) 291-4114
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-3282
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 CA 20A24460

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TIFFANY ETTERMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • PARK NICOLLET METHODIST HOSPITAL
      6500 EXCELSIOR BLVD
      SAINT LOUIS PARK, MN 55426

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.