Individual provider Active NPI

Tiffani Hoang

  • Behavior Technician
  • Sacramento, CA
National Provider Identifier
1043705627
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25583 Issued in CA
Practice address
8801 Folsom Blvd Ste 195
Sacramento, CA 95826-3231
Phone
(650) 243-9849
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95300445 CA
Behavior Technician 106S00000X 25583 CA Primary

Addresses

Primary practice location

8801 Folsom Blvd Ste 195
Sacramento, CA 95826-3231

Mailing address

4143 Sierra Gold Dr
Antelope, CA 95843-6143
Phone (408) 644-2775

Other practice location 1

725 Howe Ave Apt 72
Sacramento, CA 95825-4612
Phone (408) 644-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25583CAMDClinical Social Worker
95300445CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1043705627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 SIERRA GOLD DR",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958436143",
            "telephone_number": "408-644-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FOLSOM BLVD STE 195",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263231",
            "telephone_number": "650-243-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Howe Ave Apt 72",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254612",
            "country_code": "US",
            "telephone_number": "408-644-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "TIFFANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95300445",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "25583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.