Individual provider Active NPI

Loan Kim Tran, O.D.

  • Optometrist
  • Yuba City, CA
National Provider Identifier
1124161112
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD0114001 Issued in CA
Practice address
1282 Stabler LN
Ste. 620
Yuba City, CA 95993-2625
Phone
(530) 755-9886
Fax
(530) 755-9885
NPI assigned
Feb 15, 2007
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD0114001 CA Primary

Addresses

Primary practice location

1282 Stabler LN
Ste. 620
Yuba City, CA 95993-2625

Mailing address

1282 Stabler LN
Ste. 620
Yuba City, CA 95993-2625
Phone (530) 755-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001300 CA Practitioner - Optometry 4688661499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 Tharp Rd
Suite 102
Yuba City, CA 95993-8345
Phone (530) 755-9886

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD0114001CAMDOptometrist
11400CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1124161112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 STABLER LN",
            "address_2": "STE. 620",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932625",
            "telephone_number": "530-755-9886",
            "fax_number": "530-755-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 STABLER LN",
            "address_2": "STE. 620",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932625",
            "telephone_number": "530-755-9886",
            "fax_number": "530-755-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LOAN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0114001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.