Active NPI
Tiffany Diemquynh Tieu
- Nurse Practitioner
- La Mesa, CA
National Provider Identifier
1235059411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95039494
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 740-6000
- NPI assigned
- Jul 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95039494 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Mailing address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1235059411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-740-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-740-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEU",
"first_name": "TIFFANY",
"middle_name": "DIEMQUYNH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95039494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
- Roger A Thrush, PH.D.
- Georges Alexandre Tichy, PSY.D.
- James Tidwell, MD, MPH
- Jonathan Tiefenbrun, M.D.
- Romchoung K Tieu, PARENT PARTNER
- Timothy L. Caruthers Chiropractic Corp
- Timothy Shen, DDS, Inc. (Trinity Family Dental)
- Tina Bui OD Inc (Buitique Optometry)
- Julia Marie Tirpak, MFT
- Federico Jesus Tiznado, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.