Phal Tith

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914

Phone

(562) 346-1100

Fax

(562) 961-7604

NPI assigned

Jun 22, 2016

Last updated

Jul 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Phal Vay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1649621467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046914",
            "telephone_number": "562-346-1100",
            "fax_number": "562-961-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046914",
            "telephone_number": "562-346-1100",
            "fax_number": "562-961-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITH",
        "first_name": "PHAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHAL",
            "last_name": "VAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cecille Tisbe, RN
• Fraiba Tishbi
• Lily Tisu, MSW, LCSW
• Christine Uy Titensky, FNP
• Lunachan Tith
• Rearseiy Sam Tiv
• Jasleen Kaur Tiwana, M.D.
• Yvonne Tiznado, M.S.
• Natalie Tjandra
• Fe Laurente Tjoa, M.D.

• Rehabilitation Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.