Tarryn Thuytien Tran, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53568 Issued in CA

Practice address

16543 Brookhurst St
Fountain Valley, CA 92708-2343

Phone

(714) 418-9749

Fax

(714) 418-1047

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thuytien Hoang Tran Former name

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Kevin Khai Tieu M D a Professional CorporationGroup PAC ID 5698774941, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: ttran438967@direct.memorialcare.org

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.

• Kevin Khai Tieu M D a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1174693881
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1285086686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 EUCALYPTUS AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109215",
            "telephone_number": "714-418-9749",
            "fax_number": "714-418-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16543 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082343",
            "telephone_number": "714-418-9749",
            "fax_number": "714-418-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TARRYN",
        "middle_name": "THUYTIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUYTIEN",
            "last_name": "TRAN",
            "middle_name": "HOANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Tran, DDS
• Sarah Tran, M.S.
• Son The Tran, M.D.
• Spencer Tran
• Tammy Tran, D.D.S.
• Thao Michelle Tran, PHARM.D.
• Thinh Hung Tran, PHARM D
• Tra Pham Thanh Tran, DDS
• Tracy Tuyet Tran, DO
• Tri Nha Tran, MD

• Physician Assistant in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.
• 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.