Active NPI
Brenda Tran
- Optometrist
- San Pedro, CA
National Provider Identifier
1235979733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35722
- Practice address
- 625 W 9TH St
San Pedro, CA 90731-3107 - Phone
- (310) 833-2495
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35722 | CA | Primary |
Addresses
Primary practice location
625 W 9TH St
San Pedro, CA 90731-3107
Mailing address
625 W 9TH St
San Pedro, CA 90731-3107
Phone (310) 833-2495
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35722 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Che O D a Professional Corporation | Current | Accepting new patients |
Locations
625 W 9th St
San Pedro, CA 90731
Phone (310) 833-2495
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.
-
dba San Pedro Optometry
- Clinic/Center
- San Pedro, CA
- NPI 1609389139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1235979733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313107",
"telephone_number": "310-833-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313107",
"telephone_number": "310-833-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.