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

Tiffany Tan

Individual provider Family Nurse Practitioner · NPI 1689459430

Tiffany Tan is a Nurse Practitioner in Sunnyvale, California. Qualified in 2023, 3 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1309 S Mary Ave Ste 200
Sunnyvale, CA 94087-3060
Phone: (408) 523-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025483 (CA)

Record details

NPI number1689459430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address1309 S. Mary Ave Suite 200, Sunnyvale, CA 94087

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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