Kenneth T Tran, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86303064 Issued in CA

Practice address

1325 N Anaheim Blvd
Anaheim, CA 92801-1202

Phone

(657) 242-4381

NPI assigned

Feb 5, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Altamed Health Services Corp

  dba AltaMed PACE Anaheim

  • PACE Provider Organization
  • Anaheim, CA
  • NPI 1710593660
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1356104095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ANAHEIM BLVD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011202",
            "telephone_number": "657-242-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011202",
            "telephone_number": "657-242-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11851 Steele Dr",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928402137",
            "country_code": "US",
            "telephone_number": "714-468-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KENNETH",
        "middle_name": "T",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86303064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Tran
• Justin Tran, DMD
• Justin Chuong Tran
• Katherine T Tran
• Kaylee Quynh Tran, BCBA
• Kenny Long Tran, PHARMD
• Khoa Binh Tran, MD
• Kim H. Tran, MD
• Kristine Tran
• Kurt Khoi Tran, DDS

• Registered Dietitian in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.