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

Tiffany Lam Nguyen, PA-C

Individual provider Physician Assistant · NPI 1932832714

Tiffany Lam Nguyen, PA-C is a Physician Assistant in Fremont, California. Graduated from University of Southern California Keck School of Medicine in 2023, 3 years ago. Practices with East Bay Dermatology Medical Group Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2022
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

2557 Mowry Ave
Fremont, CA 94538-1603
Phone: (510) 797-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62821 (CA)

Record details

NPI number1932832714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice East Bay Dermatology Medical Group Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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