Individual provider Active NPI

Vyvyanna Tran, AMFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1114891231
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT158461 Issued in CA
Practice address
26821 Estanciero Dr
Mission Viejo, CA 92691-5522
Phone
(949) 787-2556
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT158461 CA Primary

Addresses

Primary practice location

26821 Estanciero Dr
Mission Viejo, CA 92691-5522

Mailing address

26821 Estanciero Dr
Mission Viejo, CA 92691-5522

Other practice location 1

5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829
Phone (714) 490-3428

Other names 1

  • Vyvyanna Wallace Other name

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
AMFT158461CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1114891231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26821 ESTANCIERO DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26821 ESTANCIERO DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915522",
            "telephone_number": "949-787-2556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5212 Katella Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907206829",
            "country_code": "US",
            "telephone_number": "714-490-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VYVYANNA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT158461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VYVYANNA",
            "last_name": "WALLACE",
            "credential": "AMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.