Stacey Cam Tien, P.A. - C

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

PA16952 Issued in CA

Practice address

1140 W la Veta Ave
Ste. 850
Orange, CA 92868-4225

Phone

(714) 560-4450

Fax

(714) 560-4455

NPI assigned

Jul 28, 2005

Sex

Female

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular and Interventional Specialists of Orange County, Inc.Group PAC ID 6608789359, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Immaculate Heart of Mary Home Health, Inc Home health agency, Bellflower, CA, CCN 058008
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: visoc.stien@156346.advancedmd-direct.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.

• Vascular and Interventional Specialists of Orange County, Inc.

  • Vascular Surgery Physician
  • Orange, CA
  • NPI 1629070610
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Immaculate Heart of Mary Home Health, Inc.

  • Home Health Agency
  • Bellflower, CA
  • NPI 1083656664
  Care Compare affiliation
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1770583056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE. 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "STACEY",
        "middle_name": "CAM",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "PA16952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tic-Talk-Toe Speech Therapy Inc.
• Alyssa Tidwell
• Taylor Tidwell, MD
• Michelle Tiem, MD
• David Hao Tien
• Tiffany de la Riva
• Olivia Armour Tiffany
• Erika Veronica Tijerina
• Makayla Alexis Tijerina
• Kalin Tilbury

• Vascular Surgery Physician in Orange, CA
• Providers in Orange, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.