Individual provider Active NPI

Valerie Tran, OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1174009948
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34152 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
TBDCAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tony D Pham OD Inc Optometrist CurrentSince Feb 6, 2022 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.

Verify at the official NPI Registry.