1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Nurse Practitioner
  6. NPI Profile

SASHA TIFFANY DATTA FNP
NPI 1700633120
Nurse Practitioner - Primary Care in Sacramento, CA

Active since May 03, 2024PECOS EnrolledAccepts Medicare Assignment
10423 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827(916) 737-5555 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Jul 28, 2024, May 3, 2024 (3 updates tracked since 2024).

About Sasha Tiffany Datta Fnp NPPES

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

SASHA TIFFANY DATTA FNP (NPI 1700633120) is an individual primary care provider in Sacramento, California, licensed in California (95029992) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700633120
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSASHA TIFFANY DATTACredential: FNP
Location Address10423 OLD PLACERVILLE RD STE 100Sacramento, CA 95827-2542
Mailing Address1500 Expo PkwySacramento, CA 95815-4227 · (916) 469-4690 · Fax (916) 880-5481
Phone(916) 737-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 3, 2024
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1700633120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95029992
10423 OLD PLACERVILLE RD STE 100, Sacramento, CA 95827
Open in Google Maps ↗

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

Sasha Tiffany Datta Fnp 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 ID42758005
PECOS Enrollment IDI20240821002945
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95827 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Sasha Tiffany Datta's NPI number?

The NPI number for Sasha Tiffany Datta is 1700633120. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Sasha Tiffany Datta located?

Sasha Tiffany Datta practices at 10423 Old Placerville Rd Ste 100, Sacramento, CA 95827. The listed phone number is (916) 737-5555.

What is Sasha Tiffany Datta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sasha Tiffany Datta enrolled in Medicare?

Yes. Sasha Tiffany Datta 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.

When was this NPI record last updated?

The NPPES record for Sasha Tiffany Datta was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.