Active NPI
Tiffany Hackett, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- A77101
- Practice address
- 8700 Beverly Blvd.
Los Angeles, CA 90048-1865 - Phone
- (310) 967-1884
- Fax
- (310) 967-1744
- NPI assigned
- Nov 9, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A77101 | CA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A77101 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd.
Los Angeles, CA 90048-1865
Mailing address
PO Box 51258
Los Angeles, CA 90051-5558
Phone (310) 967-1884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 Norris Canyon Rd
Suite 100
San Ramon, CA 94583-5406
Phone (925) 275-8210
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 84 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77101 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - Auc PC | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - Auc PC | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - Auc PC | Emergency Medicine | Current | Accepting new patients |
| Stanford Health Care | Emergency Medicine | Past | Accepting new patients |
| California Emergency Physician Medical Group | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
5401 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 275-8210
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- General Practice Physician
- Newport News, VA
- NPI 1104657329
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1962791293
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003986415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51258",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900515558",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481865",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A77101",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "A77101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.