TIFFANY AITHY PHAM
NPI 1710513429
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Tiffany Aithy Pham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY AITHY PHAM (NPI 1710513429) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Aithy Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 1710513429. It was assigned to this individual provider in the NPPES registry on March 14, 2020.
Where is Tiffany Pham located?
Tiffany Pham practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Tiffany Pham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tiffany Pham enrolled in Medicare?
Yes. Tiffany Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tiffany Pham was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tiffany Aithy Pham · NPI 1710513429
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since March 14, 2020.
## Identity
- **NPI:** 1710513429 (Entity type: Individual)
- **Enumerated:** March 14, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2604
- **Phone:** (408) 885-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710513429) · Data from the CMS NPPES public registry.