Active NPI
Trung Khanh Tran
- Pharmacist
- Irvine, CA
National Provider Identifier
1033438882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58021
- Practice address
- 18122 Culver Drive
Irvine, CA 92612 - Phone
- (714) 902-4952
- NPI assigned
- May 19, 2010
- 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 | 58021 | CA | Primary |
Addresses
Primary practice location
18122 Culver Drive
Irvine, CA 92612
Mailing address
14323 Pine Street
Westminster, CA 92683
Phone (714) 902-4952
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 |
|---|---|---|---|
| 58021 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1033438882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14323 PINE STREET",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92683",
"telephone_number": "714-902-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18122 CULVER DRIVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "714-902-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRUNG",
"middle_name": "KHANH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.