Individual provider Active NPI

Tiffany H Nguyen, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1649719170
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103093 Issued in CA
Practice address
26 West Portal Ave Suite #4
San Francisco, CA 94127-4211
Phone
(415) 604-9292
NPI assigned
Feb 16, 2017
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103093 CA Primary

Addresses

Primary practice location

26 West Portal Ave Suite #4
San Francisco, CA 94127-4211

Mailing address

2391 Monroe St
Santa Clara, CA 95051-1831
Phone (408) 332-7954

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@sfdentistajahall.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103093CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany H Nguyen, Inc, DDS CurrentSince Aug 17, 2025 Accepting new patients

Locations

26 West Portal Ave
Ste 4
San Francisco, CA 94127
Phone (415) 604-9292

Organizations & group practices 1

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1649719170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 MONROE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950511831",
            "telephone_number": "408-332-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WEST PORTAL AVE SUITE #4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941274211",
            "telephone_number": "415-604-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@sfdentistajahall.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 Sutter St Rm 2633",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941084211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.