Individual provider Active NPI

Dat Thi Phuong Tran

  • Pharmacist
  • Fountain Valley, CA
National Provider Identifier
1427596378
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH76152 Issued in CA
Practice address
17837 Santa Gertrudes Cir
Fountain Valley, CA 92708-5022
Phone
(714) 794-7352
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH76152 CA Primary

Addresses

Primary practice location

17837 Santa Gertrudes Cir
Fountain Valley, CA 92708-5022

Mailing address

17837 Santa Gertrudes Cir
Fountain Valley, CA 92708-5022
Phone (714) 794-7352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH76152CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1427596378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17837 SANTA GERTRUDES CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085022",
            "telephone_number": "714-794-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17837 SANTA GERTRUDES CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085022",
            "telephone_number": "714-794-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAT",
        "middle_name": "THI PHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH76152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.