Individual provider Active NPI

Tiffany Song

  • Certified Registered Nurse Anesthetist
  • Oro Valley, AZ
National Provider Identifier
1235784034
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
323640 Issued in AZ
Practice address
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone
(520) 901-3500
NPI assigned
Aug 8, 2019
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 95066323 CA
Certified Registered Nurse Anesthetist 367500000X 95001686 CA
Certified Registered Nurse Anesthetist 367500000X 323640 AZ Primary

Addresses

Primary practice location

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213

Mailing address

3600 Broadway
Oakland, CA 94611-5730
Phone (510) 752-1100

Other practice location 1

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (510) 879-9200

Other practice location 2

3600 Broadway
Oakland, CA 94611-5730
Phone (510) 752-1100

Other identifiers 1

IdentifierTypeStateIssuer
95066323OtherCABOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220726003506 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395127120 Reassigns benefits to 8 organizations
I20250708000176 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395127120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

380 Tesconi CT
Santa Rosa, CA 95401-4653
Phone (707) 544-3375

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95066323CAMDCritical Care Medicine Registered Nurse
323640AZMDCertified Registered Nurse Anesthetist
95001686CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Nursing Anesthesia PC CurrentSince Jan 13, 2025 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 15, 2023 Accepting new patients
University of California San Francisco CurrentSince Mar 15, 2023 Accepting new patients
Sedaze Anesthesia Consultants a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2024 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Jun 17, 2025 Accepting new patients
Silicon Valley Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 15, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 15, 2022 Accepting new patients
University Anesthesia Medical Group CurrentSince Mar 15, 2023 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 12, 2023 Accepting new patients
University of California San Francisco CurrentSince Mar 15, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 15, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
Valley Surgical Suites LLC PastSince Oct 22, 2023 Accepting new patients

Locations (25 of 45)

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

3365 Solano Ave
Napa, CA 94558
Phone (707) 266-6878

3600 Broadway
Oakland, CA 94611
Phone (510) 752-6238

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1235784034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115730",
            "telephone_number": "510-752-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E TANGERINE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556213",
            "telephone_number": "520-901-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093239",
            "country_code": "US",
            "telephone_number": "510-879-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Broadway",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115730",
            "country_code": "US",
            "telephone_number": "510-752-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95066323",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001686",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "323640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "95066323",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.