Pauline Yen Tran

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106595 Issued in CA

Practice address

72333 Highway 111 Ste B
Palm Desert, CA 92260-2790

Phone

(760) 674-9666

NPI assigned

Apr 4, 2020

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn G. Ghazal Dental Corporation

  dba Desert Crossing Dental Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Desert, CA
  • NPI 1467545657

  General Practice

  NPD (past)
• Santa Barbara Neighborhood Clinics

  dba Eastside Neighborhood Clinic

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1063438232
  NPD (past)
• Santa Barbara Neighborhood Clinics

  dba Eastside Family Dental Clinic

  • Dental Clinic/Center
  • Santa Barbara, CA
  • NPI 1972636835
  NPD (past)

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1326677063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43100 PALM ROYALE DR APT 1615",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534904",
            "telephone_number": "808-206-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72333 HIGHWAY 111 STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602790",
            "telephone_number": "760-674-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PAULINE",
        "middle_name": "YEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106595",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Toutant
• Mariela Tragash, B.A. COMMUNICATIONS
• Heidi B Tragesser, LCSW
• Tran and Lee Dental Corporation
• Christine Vivi Tran, PHARMD
• Van T Tran
• Victoria Tran
• Tranquil Transport Solutions
• Tranquility Sands Hospice, Inc.
• Sylvia Ann Trapuzzano, PSY.D., LMFT

• General Practice Dentistry in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.