Organization Active NPI

Tannie Tran OD, Inc

  • Clinic/Center
  • Eastvale, CA
National Provider Identifier
1144032343
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TANNIE TRAN OD, INC
Practice address
12471 Limonite Ave
Eastvale, CA 91752-2457
Phone
(951) 268-2996
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Tan Tran, ODNPI 1568844470
Title
Optometrist
Phone
(951) 268-2996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12471 Limonite Ave
Eastvale, CA 91752-2457

Mailing address

13361 Kamelia St
Eastvale, CA 92880-3013

National Provider Directory

National Provider Directory

Locations

12471 Limonite Ave
Eastvale, CA 91752
Phone (626) 872-8740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1144032343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13361 KAMELIA ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12471 LIMONITE AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522457",
            "telephone_number": "951-268-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNIE TRAN OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-268-2996",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.