Individual provider Active NPI

Tiffany Thanh Quach, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1477306991
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95028902 Issued in CA
Practice address
320 Pine Ave Ste 1030
Long Beach, CA 90802-2366
Phone
(408) 316-0479
NPI assigned
Apr 8, 2024
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95028902 CA Primary

Addresses

Primary practice location

320 Pine Ave Ste 1030
Long Beach, CA 90802-2366

Mailing address

320 Pine Ave Ste 1030
Long Beach, CA 90802-2366
Phone (408) 316-0479

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715002996 CA Practitioner - Nurse Practitioner 9537604558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris E Esguerra MD PCGroup PAC ID 8426456021, 10 clinicians

Practice addresses (Care Compare)

5750 Traffic Way
Suite a
Atascadero, CA 93422-7205
Phone (855) 378-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95028902CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
Thomas Health Services Inc CurrentSince Jul 1, 2024 Accepting new patients
Chris E Esguerra MD PC CurrentSince Dec 20, 2024 Accepting new patients

Locations

5750 Traffic Way
Ste A
Atascadero, CA 93422
Phone (650) 678-5243

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

402 W Broadway
Fl 4
San Diego, CA 92101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1477306991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 1030",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022366",
            "telephone_number": "408-316-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 1030",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022366",
            "telephone_number": "408-316-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "TIFFANY THANH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95028902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.