TIFFANY PHAN
NPI 1487959433
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Tiffany Phan's NPI number?

The NPI number for Tiffany Phan is 1487959433. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Q: What is Tiffany Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Phan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 24, 2011PECOS EnrolledAccepts Medicare Assignment

4150 V ST # 1110, SACRAMENTO, CA 95817(916) 734-7058 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tiffany Phan NPPES

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

TIFFANY PHAN (NPI 1487959433) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2013).

NPPES Registry Identity

NPI1487959433

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTIFFANY PHAN

Location Address4150 V ST # 1110Sacramento, CA 95817-1460

Mailing Address4150 V St # 1110Sacramento, CA 95817-1460

Phone(916) 734-7058

Sole ProprietorYes

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2013

Enumeration DateJanuary 24, 2011

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1487959433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4150 V ST # 1110, Sacramento, CA 95817

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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 Phan 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 ID1951695055

PECOS Enrollment IDI20180711003761

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 20

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

DORIS CHEN

Psychiatry & Neurology (Neurology)