Active NPI
Diem T Tran
- Medical Physician Assistant
- Danville, CA
National Provider Identifier
1346365350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15381
- Practice address
- 400 El Cerro Blvd #204
Danville, CA 94526 - Phone
- (925) 837-8848
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Medical Physician Assistant | 363AM0700X | PA15381 | CA | Primary |
Addresses
Primary practice location
400 El Cerro Blvd #204
Danville, CA 94526
Mailing address
900 Welch Rd
Ste 300
Palo Alto, CA 94304-1800
Phone (650) 815-2115
Other names 1
- Diem T Tran Gerba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15381 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- diem.gerba.1@14789.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1346365350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WELCH RD",
"address_2": "STE 300",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041800",
"telephone_number": "650-815-2115",
"fax_number": "650-325-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EL CERRO BLVD #204",
"city": "DANVILLE",
"state": "CA",
"postal_code": "94526",
"telephone_number": "925-837-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DIEM",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIEM",
"last_name": "TRAN GERBA",
"middle_name": "T",
"credential": "P.A",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.