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TIFFANY PHAN FNP
NPI 1205520855
Nurse Practitioner - Family in Fountain Valley, CA

Active since June 06, 2023
11100 WARNER AVE STE 368, FOUNTAIN VALLEY, CA 92708(714) 410-1025 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Tiffany Phan Fnp NPPES

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

TIFFANY PHAN FNP (NPI 1205520855) is an individual family provider in Fountain Valley, California, licensed in California (95026174) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1205520855
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY PHANCredential: FNP
Location Address11100 WARNER AVE STE 368Fountain Valley, CA 92708-7514
Mailing Address148 SawbuckIrvine, CA 92618-1423 · (714) 403-8985
Phone(714) 410-1025
Sole ProprietorYes
Enumeration DateJune 6, 2023
Last NPPES UpdateJune 29, 20242 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1205520855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026174
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 95163375 (CA)
11100 WARNER AVE STE 368, Fountain Valley, CA 92708
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Other Providers at the Same Location NPPES 5

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

DR. SMITA BHARGAVA TANDON MD
Pediatrics
11100 WARNER AVE STE 368
FOUNTAIN VALLEY, CA 92708
Orange County (714) 241-1777
ANGELI D SUAREZ M.D.
Pediatrics
11100 WARNER AVE STE 368
FOUNTAIN VALLEY, CA 92708
Orange County (714) 241-1777
KRISTINE QUYNHMAI LE
Nurse Practitioner (Family)
11100 WARNER AVE STE 368
FOUNTAIN VALLEY, CA 92708
Orange County (714) 410-1025
KELSEY JEPSEN NP
Nurse Practitioner (Pediatrics)
11100 WARNER AVE STE 368
FOUNTAIN VALLEY, CA 92708
Orange County (714) 410-1025
DR. ELIZABETH ANNE TRENT MOROSKI MD
Pediatrics
11100 WARNER AVE STE 368
FOUNTAIN VALLEY, CA 92708
Orange County (714) 241-1777

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 Phan's NPI number?

The NPI number for Tiffany Phan is 1205520855. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Tiffany Phan located?

Tiffany Phan practices at 11100 Warner Ave Ste 368, Fountain Valley, CA 92708. The listed phone number is (714) 410-1025.

What is Tiffany Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tiffany Phan was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.