TIFFANY THIENTHAO PHAM MD
NPI 1336601574
Otolaryngology - Facial Plastic Surgery in San Diego, CA

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
11199 SORRENTO VALLEY RD STE 202, SAN DIEGO, CA 92121(858) 282-0212 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, May 25, 2025, Jun 13, 2024 and 1 more (4 updates tracked since 2019).

About Tiffany Thienthao Pham Md NPPES

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

TIFFANY THIENTHAO PHAM MD (NPI 1336601574) is an individual facial plastic surgery provider in San Diego, California, licensed in California (A202627) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2019).

NPPES Registry Identity

NPI1336601574
Entity TypeIndividualFemale
Primary Taxonomy207YS0123X
Provider Legal NameTIFFANY THIENTHAO PHAMCredential: MD
Location Address11199 SORRENTO VALLEY RD STE 202San Diego, CA 92121-1334
Mailing Address11199 Sorrento Valley Rd Ste 202San Diego, CA 92121-1334 · (868) 282-0212
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1336601574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in CA · A202627
Definition
An otolaryngologist who specializes in facial plastic surgery.
11199 SORRENTO VALLEY RD STE 202, San Diego, CA 92121

Accepted 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

Tiffany Thienthao Pham Md 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 ID749513976
PECOS Enrollment IDI20260316000993
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.

Other Providers at the Same Location NPPES

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
11199 SORRENTO VALLEY RD STE 202
SAN DIEGO, CA 92121

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 Pham's NPI number?

The NPI number for Tiffany Pham is 1336601574. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Tiffany Pham located?

Tiffany Pham practices at 11199 Sorrento Valley Rd Ste 202, San Diego, CA 92121. The listed phone number is (858) 282-0212.

What is Tiffany Pham's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Tiffany Pham enrolled in Medicare?

Yes. Tiffany Pham 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 Pham accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare list Tiffany Pham 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 Pham was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.