Tina Tuyet Quach-Tran

Primary specialty

PharmacistTaxonomy code 183500000X

License

51045 Issued in CA

Practice address

6552 Bolsa Ave Ste a
Huntington Beach, CA 92647-2656

Phone

(714) 916-5383

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tuyet T Quach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCHHDD

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.

• Bolsa Medical MTM Pharma Inc

  • Community/Retail Pharmacy
  • Huntington Beach, CA
  • NPI 1306372891
  NPD Authorized official
• NN Medical, Inc.

  • Family Medicine Physician
  • Huntington Beach, CA
  • NPI 1881264257

  Single Specialty

  NPD

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1124658471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12666 BROOKHURST ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404866",
            "telephone_number": "714-705-6992",
            "fax_number": "714-591-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-916-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1172 N Euclid St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011900",
            "country_code": "US",
            "telephone_number": "714-613-1971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12666 Brookhurst St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928404866",
            "country_code": "US",
            "telephone_number": "714-705-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH-TRAN",
        "first_name": "TINA TUYET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "10460",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUYET",
            "last_name": "QUACH",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chanel Putras, DC
• Shahbaz Qavi, MD
• Xin Qin, DPT
• QPS Pharmacy Inc
• QPS Pharmacy Inc
• Anhdao Ngoc Quach, L.AC, DOM
• Brian Quach
• Samah Quadri
• Quan DDS Dental Corporation
• Eleonor Tan Quan, M.D.

• Pharmacist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.