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TIFFANI PHAN M.D.
NPI 1134515695
Obstetrics & Gynecology in San Diego, CA

Active since April 11, 2015PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE, SAN DIEGO, CA 92103(949) 232-7148 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2022, Jul 17, 2019 (2 updates tracked since 2019).

About Tiffani Phan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANI PHAN M.D. (NPI 1134515695) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A161105) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134515695
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTIFFANI PHANCredential: M.D.
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address1440 Columbia St Apt 1002San Diego, CA 92101-3470
Phone(949) 232-7148
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 11, 2015
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1134515695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A161105
Definition
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.
4077 FIFTH AVE, San Diego, CA 92103
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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

Tiffani Phan M.d. 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 ID4082952809
PECOS Enrollment IDI20200122000920
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 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN BUTLER M.D.
Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3935
DR. SCOT NOLAN DNP, RN, CNS
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3595
DR. ARASH ABIRI MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (185) 883-2247
BRIANNA ELISE LIPSEY RN, BSN
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
PAUL JIN HAN M.D.
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
San Diego County (619) 260-7022
CHRISTIAN NGUYEN KELLY
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
LINA MOHAMMED DO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
AMY MARIE SANTOS CCRN, MSN, ACNP
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103
San Diego County (619) 260-7285

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 Tiffani Phan's NPI number?

The NPI number for Tiffani Phan is 1134515695. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Where is Tiffani Phan located?

Tiffani Phan practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (949) 232-7148.

What is Tiffani Phan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tiffani Phan enrolled in Medicare?

Yes. Tiffani Phan 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.

When was this NPI record last updated?

The NPPES record for Tiffani Phan was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.