TIFFANY THIENTHAO PHAM MD
NPI 1336601574
Otolaryngology - Facial Plastic Surgery in San Diego, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Tiffany Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92121
- Reassigned Medicare billing, California enrollment
La Mesa, CA 91942
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Naples, FL 34103
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Tiffany Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Pham reassigns Medicare benefits to 3 organizations: Tiffany Pham MD, PC (San Diego, CA), Ear Nose And Throat Associates Of San Diego A Medical Corp (La Mesa, CA) and University Of Miami (Naples, FL). 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 Tiffany Pham'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 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 11 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.
# Tiffany Thienthao Pham, MD · NPI 1336601574
Facial Plastic Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1336601574 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** A202627 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11199 SORRENTO VALLEY RD STE 202, San Diego, CA 92121-1334
- **Phone:** (858) 282-0212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tiffany Pham MD, PC (NPI 1164389383, San Diego, CA); Ear Nose And Throat Associates Of San Diego A Medical Corp (NPI 1811992761, La Mesa, CA); University Of Miami (NPI 1295279586, Naples, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336601574) · Data from the CMS NPPES public registry.