Active NPI
Kyle Tran
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1013709484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85043
- Practice address
- 1250 16TH St
Santa Monica, CA 90404-1249 - Phone
- (310) 825-9111
- NPI assigned
- May 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85043 | CA | Primary |
Addresses
Primary practice location
1250 16TH St
Santa Monica, CA 90404-1249
Mailing address
20944 Vanowen St Apt 405
Canoga Park, CA 91303-3885
Phone (818) 300-8932
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 |
|---|---|---|---|
| 85043 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1013709484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20944 VANOWEN ST APT 405",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033885",
"telephone_number": "818-300-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "310-825-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "85043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.