Nicholas Tieu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA67875 Issued in CA

Practice address

795 El Camino Real
Palo Alto, CA 94301-2302

Phone

(650) 853-2974

Fax

(650) 853-6086

NPI assigned

Jan 11, 2024

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: nicholas.tieu@cccn.ikm.direct-ci.com

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.

• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1033817168
  Medicare reassignment
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Palo Alto, CA
  • NPI 1104067115
  Medicare reassignment
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1497996524
  Medicare reassignment
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Los Altos, CA
  • NPI 1568851327
  Medicare reassignment
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Mountain View, CA
  • NPI 1982845186
  Medicare reassignment

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1265203889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012302",
            "telephone_number": "650-853-2974",
            "fax_number": "650-853-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693321",
            "country_code": "US",
            "telephone_number": "702-952-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEU",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Sileo Throndson, LMFT
• Alexis Reanne Thumann, PHARMD
• Kiran Kumar Thurimella, MD, PHD
• Phyllis Balley Thurstone, M.D.
• Gregory Ming Tiao, MD
• Tiferes Medical Group
• Tiffany Bui, D.M.D., I.N.C
• Margaret Till, PA-C
• Lauren Timmerman, LCSW
• Molly Timmerman, DO

• Physician Assistant in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.

Verify at the official NPI Registry.