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MEY SAEPHANH
NPI 1154101749
Nurse Practitioner - Family in San Jose, CA

Active since October 02, 2023PECOS Enrolled
1694 TULLY RD STE 40, SAN JOSE, CA 95122(408) 795-3600 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Oct 2, 2023 (2 updates tracked since 2023).

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

NPI1154101749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEY SAEPHANH
Location Address1694 TULLY RD STE 40San Jose, CA 95122-2538
Mailing Address1694 Tully Rd Ste 40San Jose, CA 95122-2538
Phone(408) 795-3600
Sole ProprietorNo
Enumeration DateOctober 2, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1154101749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95023001
1694 TULLY RD STE 40, San Jose, CA 95122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mey Saephanh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mey Saephanh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Planned Parenthood Mar Monte, Inc.
Same address
Community Health
1694 TULLY RD STE 40
San Jose, CA 95122
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
NPI 1598536971 (408) 795-3600
Southern California Permanente Medical Group
261 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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 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.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

PLANNED PARENTHOOD MAR MONTE, INC.
Clinic/Center (Community Health)
1694 TULLY RD STE 40
SAN JOSE, CA 95122
Santa Clara County (408) 795-3600
ALEXIS BRADLEY NP
Nurse Practitioner (Family)
1694 TULLY RD STE 40
SAN JOSE, CA 95122
Santa Clara County (877) 855-7526

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.

Which organizations bill Medicare for Mey Saephanh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mey Saephanh reassigns Medicare benefits to 2 organizations: Planned Parenthood Mar Monte, Inc. (San Jose, CA) and Southern California Permanente Medical Group (Oxnard, 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 Mey Saephanh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.