Jennifer Tran DO, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6643 Issued in CA

Legal business name

JENNIFER TRAN DO, INC.

Practice address

445 Marine View Ave Ste 300
Del Mar, CA 92014-3926

Phone

(858) 740-7087

Fax

(858) 997-2591

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Tran, DONPI 1689794711

Title

Owner

Phone

(858) 740-7087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Jennifer T.D. Tran, D.O.

  • Family Medicine Physician
  • Del Mar, CA
  • NPI 1689794711
  Medicare reassignment Authorized official
• John R Desnoyers, M.D.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1760423420
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1255737409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90544",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921692544",
            "telephone_number": "858-740-7087",
            "fax_number": "858-997-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARINE VIEW AVE STE 300",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143926",
            "telephone_number": "858-740-7087",
            "fax_number": "858-997-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TRAN DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-740-7087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Watson,D.O.,a Professional Medical Corporation

• Family Medicine Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.