Individual provider Active NPI

Haylie Tran, NP

  • Family Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1225764459
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022047 Issued in CA
Practice address
9940 Talbert Ave Ste 204
Fountain Valley, CA 92708-5153
Phone
(714) 783-1838
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022047 CA Primary

Addresses

Primary practice location

9940 Talbert Ave Ste 204
Fountain Valley, CA 92708-5153

Mailing address

9940 Talbert Ave Ste 204
Fountain Valley, CA 92708-5153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119002498 CA Practitioner - Nurse Practitioner 8123497799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer and Blood Specialty ClinicGroup PAC ID 9032260146, 17 clinicians

Practice addresses (Care Compare)

9940 Talbert Ave
Suite 204
Fountain Valley, CA 92708-5153
Phone (562) 725-4367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Sep 20, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Sep 20, 2022 Accepting new patients
Cancer and Blood Specialty Clinic CurrentSince Feb 14, 2024 Accepting new patients
Cancer and Blood Specialty Clinic CurrentSince Feb 14, 2024 Accepting new patients

Locations

9900 Talbert Ave
Ste 103A
Fountain Valley, CA 92708
Phone (562) 725-4367

11100 Warner Ave
Ste 200
Fountain Vly, CA 92708
Phone (714) 455-1647

9940 Talbert Ave
Ste 204
Fountain Vly, CA 92708
Phone (714) 378-5062

3822 Katella Ave
#100
Los Alamitos, CA 90720

3851 Katella Ave
Ste 125
Los Alamitos, CA 90720
Phone (562) 725-4367

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: haylie.tran.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 4

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1225764459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-783-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HAYLIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.