SILICON VALLEY SPORTS MEDICINE - NPI 1871074500 - Family Medicine in Campbell, CA

Q: What is Tiffany L. Gorman, MD's NPI number?

The NPI number for Tiffany L. Gorman, MD is 1871074500. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Silicon Valley Sports Medicine.

Q: What is Tiffany L. Gorman, MD's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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About Silicon Valley Sports Medicine NPPES

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

SILICON VALLEY SPORTS MEDICINE (NPI 1871074500) is a healthcare organization registered as a sports medicine in Campbell, California and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Sean Morrissey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1871074500

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameTIFFANY L. GORMAN, MD

Location Address221 E HACIENDA AVE STE BCampbell, CA 95008-6625

Mailing Address221 E Hacienda Ave Ste BCampbell, CA 95008-6625 · (408) 376-3350 · Fax (408) 374-4130

Phone(408) 376-3350

Fax(408) 374-4130

Organization SubpartNo

Authorized OfficialSean MorrisseyPractice Administrator · (408) 376-3350

Enumeration DateAugust 21, 2018

✔ NPI 1871074500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

221 E HACIENDA AVE STE B, Campbell, CA 95008

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Other Names 1

Doing Business AsSilicon Valley Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1077550

Tiffany Gorman, MD · Campbell, CA

Active · expires Dec 11, 2027

CLIA Number05D1077550

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorTiffany L. Gorman, MD

Laboratory Phone(408) 376-3350

Laboratory LocationTiffany Gorman, MD221 E Hacienda Ave, Ste B, Campbell, CA 95008

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. MIKE GORENCHTEIN M.B.,B.S.

Internal Medicine