Individual provider Active NPI

Lan Phuong Thuy Tran, REGISTERED NURSE

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1194337626
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1128221 Issued in TX
Practice address
20915 Wilderness Oak Apt 2204
San Antonio, TX 78258-2634
Phone
(408) 204-3887
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN179297 AZ
Certified Registered Nurse Anesthetist 367500000X 1128221 TX Primary

Addresses

Primary practice location

20915 Wilderness Oak Apt 2204
San Antonio, TX 78258-2634

Mailing address

20915 Wilderness Oak Apt 2204
San Antonio, TX 78258-2634
Phone (408) 204-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403003775 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406200419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 664-2744

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN179297AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Feb 3, 2024 Accepting new patients
Advanced Anesthesia Incorporated Nurse Anesthetist, Certified Registered PastSince Dec 10, 2023 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

9479 N Fort Washington Rd
Ste 103
Fresno, CA 93730
Phone (559) 289-4574

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

1300 Mable Ave
#1
Modesto, CA 95355
Phone (209) 571-1633

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1194337626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20915 WILDERNESS OAK APT 2204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582634",
            "telephone_number": "408-204-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20915 WILDERNESS OAK APT 2204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582634",
            "telephone_number": "408-204-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LAN PHUONG",
        "middle_name": "THUY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN179297",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1128221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.