Active NPI
Andy Vu Tran, DDS
- Dentist
- Santa Clarita, CA
National Provider Identifier
1033316146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48774
- Practice address
- 28212 Kelly Johnson Pkwy Ste 240
Santa Clarita, CA 91355-5091 - Phone
- (661) 296-7070
- NPI assigned
- Jul 2, 2007
- Last updated
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 48774 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 240
Santa Clarita, CA 91355-5091
Mailing address
28212 Kelly Johnson Pkwy Ste 240
Santa Clarita, CA 91355-5091
Phone (714) 401-3956
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 |
|---|---|---|---|
| 48774 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andy V. Tran DDS, Inc | Past | Accepting new patients |
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": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1033316146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 240",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913555091",
"telephone_number": "714-401-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 240",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913555091",
"telephone_number": "661-296-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "ANDY",
"middle_name": "VU",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.