Individual provider Active NPI

Thanh-Van Thi Tran, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1255670113
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2243 Issued in OK
Practice address
5701 N Portland Ave Ste 225
Oklahoma City, OK 73112-1678
Phone
(405) 600-1210
Fax
(405) 602-5756
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2243 OK Primary

Addresses

Primary practice location

5701 N Portland Ave Ste 225
Oklahoma City, OK 73112-1678

Mailing address

14129 Paddle Wheel PL
Oklahoma City, OK 73170-1261
Phone (405) 921-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130516000346 OK Practitioner - Physician Assistant 5991942633
I20251006003611 CA Practitioner - Physician Assistant 5991942633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 15TH St
Suite 103
San Diego, CA 92101-8098

PO Box
Suite 1855
San Ramon, CA 94583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2243OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Haramandeep Singh MD Inc CurrentSince Aug 1, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2500 Old Crow Canyon Rd
Ste 505
San Ramon, CA 94583
Phone (925) 415-5353

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2732/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1255670113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14129 PADDLE WHEEL PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731701261",
            "telephone_number": "405-921-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 N PORTLAND AVE STE 225",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121678",
            "telephone_number": "405-600-1210",
            "fax_number": "405-602-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THANH-VAN",
        "middle_name": "THI",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA2243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.