Tiffany Ta

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

635 Lakeview Ave
San Francisco, CA 94112-2201

Phone

(415) 699-7988

NPI assigned

Oct 23, 2025

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

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1053288092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41550 ECLECTIC ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 LAKEVIEW AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122201",
            "telephone_number": "415-699-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jean Szymczak, DNP, APRN, PMHNP-BC
• Brian Qui Vinh Ta
• Lilyn Ta
• Myling Ta, PHARMD
• Stacey Mai Ta, MPH, RD
• Viet-Thi Ta
• Laura Tabak, PSY.D.
• Nicole Rea Tabak
• Christopher Tabakin
• Maryam Asadi Tabar, DDS

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.