Individual provider Active NPI

David W Tram, APRN

  • Nurse Practitioner
  • Alhambra, CA
National Provider Identifier
1356050967
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95023371 Issued in CA
Practice address
100 S Raymond Ave
Alhambra, CA 91801-3166
Phone
(626) 227-5844
NPI assigned
Nov 22, 2022
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95023371 CA Primary

Addresses

Primary practice location

100 S Raymond Ave
Alhambra, CA 91801-3166

Mailing address

2411 Lazy Brook LN
Hacienda Heights, CA 91745-5620
Phone (626) 227-5844

Other practice location 1

438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone (626) 227-5844

Other practice location 2

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 227-5844

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404001371 CA Practitioner - Nurse Practitioner 3971978040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

Practice addresses (Care Compare)

5353 G St
Chino, CA 91710-5249
Phone (626) 408-5927

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Jan 31, 2023 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Huntington Specialist & Nursing Corporation CurrentSince Nov 1, 2024 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

5353 G St
Chino, CA 91710
Phone (626) 335-1919

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1356050967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 LAZY BROOK LN",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455620",
            "telephone_number": "626-227-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-227-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 W Las Tunas Dr",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761216",
            "country_code": "US",
            "telephone_number": "626-227-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917541202",
            "country_code": "US",
            "telephone_number": "626-227-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAM",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.