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

Nicholas Tieu, PA-C

Individual provider Physician Assistant · NPI 1265203889

Nicholas Tieu, PA-C is a Physician Assistant in Palo Alto, California. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

795 El Camino Real
Palo Alto, CA 94301-2302
Phone: (650) 853-2974
Fax: (650) 853-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3730 S Eastern Ave, Las Vegas, NV 89169-3321 — (702) 952-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67875 (CA)

Record details

NPI number1265203889
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2024
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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