Active NPI
Loan Thi Tran
- Social Worker
- San Pablo, CA
National Provider Identifier
1285812297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 84684
- Practice address
- 13585 San Pablo Ave
2ND Floor
San Pablo, CA 94806-3305 - Phone
- (510) 942-4700
- NPI assigned
- Feb 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 84684 | CA | Primary |
Addresses
Primary practice location
13585 San Pablo Ave
2ND Floor
San Pablo, CA 94806-3305
Mailing address
13585 San Pablo Ave
2ND Floor
San Pablo, CA 94806-3305
Phone (510) 942-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84684 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1285812297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE",
"address_2": "2ND FLOOR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063305",
"telephone_number": "510-942-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE",
"address_2": "2ND FLOOR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063305",
"telephone_number": "510-942-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LOAN",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2023-04-21",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "84684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.