Active NPI
Thu Thi Minh Tran
- General Practice Dentistry
- Carson, CA
National Provider Identifier
1013543263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 106063
- Practice address
- 20401 Avalon Blvd Ste a
Carson, CA 90746-3226 - Phone
- (714) 808-2123
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 106063 | CA | Primary |
Addresses
Primary practice location
20401 Avalon Blvd Ste a
Carson, CA 90746-3226
Mailing address
20401 Avalon Blvd Ste a
Carson, CA 90746-3226
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106063 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thu T Tran DDS Inc | Multi-Specialty | Current | Accepting new patients |
Locations
20401 Avalon Blvd
Ste A
Carson, CA 90746
Phone (310) 217-1507
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1013543263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20401 AVALON BLVD STE A",
"city": "CARSON",
"state": "CA",
"postal_code": "907463226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20401 AVALON BLVD STE A",
"city": "CARSON",
"state": "CA",
"postal_code": "907463226",
"telephone_number": "714-808-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THU",
"middle_name": "THI MINH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.