Individual provider Active NPI

Kristine Huyen Tran La, PHARMD

  • Pharmacist
  • Westminster, CA
National Provider Identifier
1205427630
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
81522 Issued in CA
Practice address
200 Westminster Mall
Westminster, CA 92683-4984
Phone
(714) 657-1352
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19951 NV
Pharmacist 183500000X 81522 CA Primary

Addresses

Primary practice location

200 Westminster Mall
Westminster, CA 92683-4984

Mailing address

200 Westminster Mall
Westminster, CA 92683-4984
Phone (714) 657-1352

Other practice location 1

31852 Pacific Coast Hwy
#103
Laguna Beach, CA 92651-9265
Phone (949) 499-0885

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
81522CAMDPharmacist
19951NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
C&a Pharmaceutical Enterprises-Ca LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1205427630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTMINSTER MALL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834984",
            "telephone_number": "714-657-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTMINSTER MALL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834984",
            "telephone_number": "714-657-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31852 Pacific Coast Hwy",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926519265",
            "country_code": "US",
            "telephone_number": "949-499-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA",
        "first_name": "KRISTINE",
        "middle_name": "HUYEN TRAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19951",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.