Individual provider Active NPI

Stanly Tran, LCSW

  • Clinical Social Worker
  • Costa Mesa, CA
National Provider Identifier
1134556137
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80129 Issued in CA
Practice address
3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496
Phone
(949) 646-9227
NPI assigned
Oct 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 80129 CA Primary

Addresses

Primary practice location

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496

Mailing address

1095 Irvine Blvd
Tustin, CA 92780-3526

Other practice location 1

405 W 5th St Ste 550
Santa Ana, CA 92701-4599
Phone (714) 834-4707

Other practice location 2

1095 Irvine Blvd
Tustin, CA 92780
Phone (657) 479-1214

Other practice location 3

845 W La Veta Ave Ste 108
Orange, CA 92868-3930
Phone (714) 639-2600

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527003051 CA Practitioner - Clinical Social Worker 8820497647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80129CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 14, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Apr 14, 2021 Accepting new patients
Orange County Association for Mental Health Past Accepting new patients
Octave Behavioral Health PC Past Accepting new patients
Orange County Association for Mental Health Past Accepting new patients
HCA BH LPS MHS Past Accepting new patients

Locations

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

845 W La Veta Ave
Ste 108
Orange, CA 92868
Phone (714) 289-3904

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1134556137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 HOWARD WAY STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261496",
            "telephone_number": "949-646-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W 5th St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014599",
            "country_code": "US",
            "telephone_number": "714-834-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Irvine Blvd",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "92780",
            "country_code": "US",
            "telephone_number": "657-479-1214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 W La Veta Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683930",
            "country_code": "US",
            "telephone_number": "714-639-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "STANLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2021-05-25",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.