DR. TIFFANY PRACHACHALERM DO
NPI 1104319565
Internal Medicine in Santa Ana, CA
About Dr. Tiffany Prachachalerm Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIFFANY PRACHACHALERM DO (NPI 1104319565) is an individual internal medicine provider in Santa Ana, California, licensed in California (20A18914) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tiffany Prachachalerm Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tiffany Prachachalerm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
El Monte, CA 91731
- Reassigned Medicare billing, California enrollment
- 55 clinicians in this Medicare group
Glendora, CA 91741
- Reassigned Medicare billing, California enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Prachachalerm's NPI number?
The NPI number for Tiffany Prachachalerm is 1104319565. It was assigned to this individual provider in the NPPES registry on June 11, 2018.
Where is Tiffany Prachachalerm located?
Tiffany Prachachalerm practices at 1212 W. 17th St., Santa Ana, CA 92706. The listed phone number is (714) 954-0432.
What is Tiffany Prachachalerm's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tiffany Prachachalerm enrolled in Medicare?
Yes. Tiffany Prachachalerm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tiffany Prachachalerm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Prachachalerm reassigns Medicare benefits to 3 organizations: Memorialcare Medical Foundation (Fountain Valley, CA), Asian Pacific Health Care Venture, Inc. (El Monte, CA) and Menalam Health Services PC (Glendora, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Prachachalerm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Prachachalerm accept?
Health plans from Blue Cross and Blue Shield of Texas list Tiffany Prachachalerm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tiffany Prachachalerm was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tiffany Prachachalerm, DO · NPI 1104319565
Internal Medicine physician in Santa Ana, California. Individual provider, active in the CMS NPPES registry since June 11, 2018.
## Identity
- **NPI:** 1104319565 (Entity type: Individual)
- **Enumerated:** June 11, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A18914 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1212 W. 17TH ST., Santa Ana, CA 92706
- **Phone:** (714) 954-0432 · **Fax:** (714) 796-6265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Asian Pacific Health Care Venture, Inc. (NPI 1609147743, El Monte, CA); Menalam Health Services PC (NPI 1003779596, Glendora, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2018
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104319565) · Data from the CMS NPPES public registry.