Individual provider Active NPI

Lena Phuonghau Tran, R.N, B.S.N, PHN

  • Case Management Registered Nurse
  • Fountain Valley, CA
National Provider Identifier
1073856332
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
388862 Issued in CA
Practice address
18474 Tamarind St
Fountain Valley, CA 92708-5832
Phone
(714) 962-3218
Fax
(714) 962-3218
NPI assigned
Apr 4, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 388862 CA Primary

Addresses

Primary practice location

18474 Tamarind St
Fountain Valley, CA 92708-5832

Mailing address

18474 Tamarind St
Fountain Valley, CA 92708-5832
Phone (714) 962-3218

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
388862CAMDCase Management Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1073856332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18474 TAMARIND ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085832",
            "telephone_number": "714-962-3218",
            "fax_number": "714-962-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18474 TAMARIND ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085832",
            "telephone_number": "714-962-3218",
            "fax_number": "714-962-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LENA",
        "middle_name": "PHUONGHAU",
        "name_prefix": "Ms.",
        "credential": "R.N, B.S.N, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "388862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.