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Export Provider Record NPI 1154397768
Kevin Khai Tuan TieuMD
Active
NPI Number1154397768
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1154397768
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-02-23
Last Updated2019-05-30
Mailing Address16144 Gallatin St
Fountain Valley, CA 92708-1440
United States
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Primary Practice Address16543 Brookhurst St
Fountain Valley, CA 92708-2343
United States
Phone: (714) 418-9749 | Fax: (714) 418-1047
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Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCA2012536
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyCAA77268
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About NPI 1154397768

Kevin Khai Tuan Tieu MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154397768. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Fountain Valley, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154397768?

NPI 1154397768 belongs to Kevin Khai Tuan Tieu MD, a Obstetrics & Gynecology in Fountain Valley, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154397768 active?

The current status of NPI 1154397768 in the NPPES registry is Active. The record was last updated on 2019-05-30.

What specialty is NPI 1154397768?

NPI 1154397768 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154397768?

You can verify NPI 1154397768 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154397768?

The primary practice address on file for NPI 1154397768 is 16543 Brookhurst St, Fountain Valley, CA 92708-2343. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154397768 issued?

NPI 1154397768 was first issued (enumerated) on 2006-02-23. The NPPES record was last updated on 2019-05-30.

Practice Location Map

Kevin Khai Tuan Tieu is located at 16543 Brookhurst St, Fountain Valley, CA. Use the map below to find directions or verify the practice location.

📍 16543 Brookhurst St, Fountain Valley, CA 92708-2343  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kevin Khai Tuan Tieu. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154397768. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & GynecologyA77268CA
Data Verified from CMS NPPES Last synced: 2026-07-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162