Vivi Tran, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.009767 Issued in IL

Practice address

1070 W 15TH St Unit 111
Chicago, IL 60608-1870

Phone

(303) 929-8399

NPI assigned

Jul 17, 2023

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• St Anthony Emergency Services Physician Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chicago, IL
  • NPI 1760587703
  Medicare reassignment

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1356020309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W 15TH ST UNIT 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081870",
            "telephone_number": "303-929-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W 15TH ST UNIT 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081870",
            "telephone_number": "303-929-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VIVI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien Tran, HID
• Trung Trong Tran
• Tuyet Ngoc Tran, PHARM D
• Uyen Thi Le Tran, RPH
• Van Ann Quynh Tran, MD
• Trandai Dental Care (Peterson FOREVER SMILES)
• Trandai Dental Care (Broadway Dental Associates)
• Anhminh Trandai, DMD
• Michelle Trandai, M.D.
• Elizabeth Sarah Tranel

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.