Organization Active NPI

Thang Duc Tran, MD

  • Primary Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1235575333
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
713906 Issued in CA
Legal business name
THANG DUC TRAN, MD
Practice address
1569 Lexann Ave Ste 114
San Jose, CA 95121-1794
Phone
(408) 223-8818
Fax
(408) 223-8884
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Mrs. My Linh Thi Nguyen, FNP-BCNPI 1780095711
Title
NP
Phone
(408) 223-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 713906 CA Primary

Addresses

Primary practice location

1569 Lexann Ave Ste 114
San Jose, CA 95121-1794

Mailing address

3125 Greenford CT
San Jose, CA 95148-3680
Phone (408) 531-9923

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0924461Thang Tran MD1569 Lexann Ave # 114, San Jose, CA 95121Provider-performed microscopyJan 29, 2027

National Provider Directory

National Provider Directory

Locations

1569 Lexann Ave
Ste 114
San Jose, CA 95121
Phone (408) 223-8818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1235575333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 GREENFORD CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483680",
            "telephone_number": "408-531-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE STE 114",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211794",
            "telephone_number": "408-223-8818",
            "fax_number": "408-223-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANG DUC TRAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MY LINH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "408-223-8818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "713906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.