Tiffany Fountain, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

756820 Issued in CA

Practice address

5432 Lawton Ave
Oakland, CA 94618-1110

Phone

(510) 640-3914

NPI assigned

Mar 4, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1003761982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 LEWELLING BLVD",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945801632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 LAWTON AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181110",
            "telephone_number": "510-640-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "TIFFANY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "756820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd A. Foster, MD
• Brandi Foucheaux
• Samar Fouda, MD
• Monique Fouhy
• Foundation for Osteoporosis Research & Education
• Jamal David Fountaine, PARAMEDIC
• Helena Fowler
• Lisa Fowler, PSY.D.
• Reatha Marlene Fowler, M.D.
• Gary Lawton Fox, RN

• Licensed Vocational Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.