Active NPI
Sydney Quynh Tran
- Pharmacist
- San Pedro, CA
National Provider Identifier
1295380699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006957
- Practice address
- 1299 S Seaside Ave
San Pedro, CA 90731-7359 - Phone
- (310) 732-5252
- NPI assigned
- Aug 3, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00006957 | NM | Primary |
Addresses
Primary practice location
1299 S Seaside Ave
San Pedro, CA 90731-7359
Mailing address
9605 La Granada Ave
Fountain Valley, CA 92708-3526
Phone (714) 383-7455
Other practice location 1
18436 Brookhurst St
Fountain Valley, CA 92708-6706
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 |
|---|---|---|---|
| RP00006957 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564790400000",
"number": "1295380699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9605 LA GRANADA AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083526",
"telephone_number": "714-383-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 S SEASIDE AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907317359",
"telephone_number": "310-732-5252"
}
],
"practiceLocations": [
{
"address_1": "18436 Brookhurst St",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927086706",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "SYDNEY",
"middle_name": "QUYNH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-03",
"last_updated": "2019-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006957",
"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 Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.