Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tiffany Prachachalerm, DO

Individual provider Internal Medicine Physician · NPI 1104319565

Dr. Tiffany Prachachalerm, DO is an Internal Medicine in Santa Ana, California. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2018, 8 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
CA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1212 W 17th St
Santa Ana, CA 92706
Phone: (714) 954-0432
Fax: (714) 796-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A18914 (CA)

Record details

NPI number1104319565
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2018 (8 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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