Active NPI
Lan Phuong Thuy Tran, REGISTERED NURSE
- Certified Registered Nurse Anesthetist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1128221
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Practice addresses (Care Compare)
825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 664-2744
Hospital & facility affiliations
- Doctors Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN179297 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Advanced Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | Past | 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.
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1720543762
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
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.