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DR. TIFFANY PRACHACHALERM DO
NPI 1104319565
Internal Medicine in Santa Ana, CA

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
1212 W. 17TH ST., SANTA ANA, CA 92706(714) 954-0432(714) 796-6265 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2024, Aug 26, 2021, Jun 11, 2018 (3 updates tracked since 2018).

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

NPI1104319565
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIFFANY PRACHACHALERMCredential: DO
Location Address1212 W. 17TH ST.Santa Ana, CA 92706
Mailing Address1212 W. 17th St.Santa Ana, CA 92706 · (714) 954-0432 · Fax (714) 796-6265
Phone(714) 954-0432
Fax(714) 796-6265
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2018
Enumeration DateJune 11, 2018
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1104319565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A18914
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1212 W. 17TH ST., Santa Ana, CA 92706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4284030735
PECOS Enrollment IDI20210908002396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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 20 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.