MEY SAEPHANH
NPI 1154101749
Nurse Practitioner - Family in San Jose, CA
About Mey Saephanh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEY SAEPHANH (NPI 1154101749) is an individual family provider in San Jose, California, licensed in California (95023001) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mey Saephanh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95122
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 Mey Saephanh's NPI number?
The NPI number for Mey Saephanh is 1154101749. It was assigned to this individual provider in the NPPES registry on October 2, 2023.
Where is Mey Saephanh located?
Mey Saephanh practices at 1694 Tully Rd Ste 40, San Jose, CA 95122. The listed phone number is (408) 795-3600.
What is Mey Saephanh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mey Saephanh enrolled in Medicare?
Yes. Mey Saephanh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mey Saephanh was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Mey Saephanh · NPI 1154101749
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1154101749 (Entity type: Individual)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95023001 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1694 TULLY RD STE 40, San Jose, CA 95122-2538
- **Phone:** (408) 795-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1154101749) · Data from the CMS NPPES public registry.