Individual provider Active NPI

Minh Tran, D.C

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1033566401
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33579 Issued in CA
Practice address
4010 Moorpark Ave Ste 109
San Jose, CA 95117-1842
Phone
(559) 824-2395
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33579 CA Primary

Addresses

Primary practice location

4010 Moorpark Ave Ste 109
San Jose, CA 95117-1842

Mailing address

4855 Atherton Ave
Ste. 202
San Jose, CA 95130-1026
Phone (408) 585-5275

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

LicenseStateTypeSpecialty
33579CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minh Tran Chiropractic, PC CurrentSince Dec 10, 2023 Accepting new patients

Locations

4010 Moorpark Ave
Ste 109
San Jose, CA 95117
Phone (408) 585-5275

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1033566401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 ATHERTON AVE",
            "address_2": "STE. 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301026",
            "telephone_number": "408-585-5275",
            "fax_number": "669-273-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171842",
            "telephone_number": "559-824-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.