Active NPI
Valerie Tran, OD
- Optometrist
- San Diego, CA
National Provider Identifier
1174009948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34152
- Practice address
- 6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311 - Phone
- (858) 535-8282
- NPI assigned
- Jul 16, 2018
- Last updated
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TBD | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 34152 | CA | Primary |
Addresses
Primary practice location
6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311
Mailing address
6755 Mira Mesa Blvd Ste 141
San Diego, CA 92121-4311
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TBD | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony D Pham OD Inc | Optometrist | Current | Accepting new patients |
Locations
6755 Mira Mesa Blvd
Ste 141
San Diego, CA 92121
Phone (858) 535-8282
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": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1174009948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6755 MIRA MESA BLVD STE 141",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6755 MIRA MESA BLVD STE 141",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214311",
"telephone_number": "858-535-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "TBD",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.