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

Tiffany Ku, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205403862

Tiffany Ku, MD is a Family Practice in Oakland, California. Qualified in 2021, 5 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone: (510) 869-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Alhambra Ave, Martinez, CA 94553-3156 — (925) 370-5200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A182539 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205403862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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