Individual provider Active NPI

Tien Tran

  • Pharmacist
  • Castro Valley, CA
National Provider Identifier
1053752014
Registry record updated Jul 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68057 Issued in CA
Practice address
3382 Castro Valley Blvd
Castro Valley, CA 94546-5623
Phone
(510) 537-0072
Fax
(510) 537-0427
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68057 CA Primary

Addresses

Primary practice location

3382 Castro Valley Blvd
Castro Valley, CA 94546-5623

Mailing address

3539 Hageman Ave
Oakland, CA 94619-1272

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373155200000",
    "number": "1053752014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 HAGEMAN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465623",
            "telephone_number": "510-537-0072",
            "fax_number": "510-537-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TIEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2013-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2013; 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.