Active NPI
Kathleen V Tran
- Pharmacist
- Cypress, CA
National Provider Identifier
1114234481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51568
- Practice address
- 4430 Fairfield Way
Cypress, CA 90630-2745 - Phone
- (562) 256-6913
- NPI assigned
- Sep 8, 2010
- Last updated
- Sep 8, 2010
- Sex
- Female
- 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 | 51568 | CA | Primary |
Addresses
Primary practice location
4430 Fairfield Way
Cypress, CA 90630-2745
Mailing address
4430 Fairfield Way
Cypress, CA 90630-2745
Phone (562) 256-6913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51568 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| 51568 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1114234481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 FAIRFIELD WAY",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302745",
"telephone_number": "562-256-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 FAIRFIELD WAY",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302745",
"telephone_number": "562-256-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KATHLEEN",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "51568",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.