Active NPI
Tiffany Shem, PA-C
- Physician Assistant
- Alameda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60848
- Practice address
- 815 Atlantic Ave Ste 100
Alameda, CA 94501-2298 - Phone
- (510) 535-7363
- NPI assigned
- Jan 7, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA60848 | CA | |
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | PA60848 | CA | |
| Physician Assistant | 363A00000X | PA60848 | CA | Primary |
Addresses
Primary practice location
815 Atlantic Ave Ste 100
Alameda, CA 94501-2298
Mailing address
815 Atlantic Ave Ste 100
Alameda, CA 94501-2298
Phone (510) 535-7363
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
815 Atlantic Ave
Suite 100
Alameda, CA 94501-2298
Phone (510) 522-6637
Hospital & facility affiliations
- Highland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60848 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768
Interoperability endpoints
- tshem79578@alamedahs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661040000000",
"number": "1245991553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 ATLANTIC AVE STE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012298",
"telephone_number": "510-535-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 ATLANTIC AVE STE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012298",
"telephone_number": "510-535-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEM",
"first_name": "TIFFANY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-08-21",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA60848",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA60848",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.