Individual provider Active NPI

Tiffany B Ho, MD

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1598895559
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A054798 Issued in CA
Practice address
828 S Bascom Ave Ste 200
San Jose, CA 95128-2600
Phone
(408) 885-5767
Fax
(408) 293-4889
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A054798 CA Primary

Addresses

Primary practice location

828 S Bascom Ave Ste 200
San Jose, CA 95128-2600

Mailing address

828 S Bascom Ave Ste 200
San Jose, CA 95128-2600
Phone (408) 885-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002600 CA Practitioner - Psychiatry 1759612880 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A054798CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 9, 2019 Accepting new patients
County of Santa Clara CurrentSince Jul 9, 2019 Accepting new patients
County of Santa Clara CurrentSince Jul 9, 2019 Accepting new patients
County of Santa Clara Psychiatry CurrentSince Jul 9, 2019 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

828 S Bascom Ave
Ste 200
San Jose, CA 95128
Phone (408) 885-5770

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

Interoperability endpoints

  • Direct secure messaging: tho10748@santaclaravalley.direct-ci.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1598895559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282600",
            "telephone_number": "408-885-5767",
            "fax_number": "408-293-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282600",
            "telephone_number": "408-885-5767",
            "fax_number": "408-293-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A054798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.