Active NPI
Pha Tran, PA
- Medical Physician Assistant
- Garden Grove, CA
National Provider Identifier
1447848247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 11161 Woodbury Rd
Garden Grove, CA 92843-3533 - Phone
- (408) 646-3190
- NPI assigned
- Jan 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
11161 Woodbury Rd
Garden Grove, CA 92843-3533
Mailing address
11161 Woodbury Rd
Garden Grove, CA 92843-3533
Phone (408) 646-3190
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62502 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In N Out Urgent Care, Inc. | Current | Accepting new patients | |
| VM Medical Group | Current | Accepting new patients | |
| The Roads Foundation, Inc. | Current | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
8251 Westminster Blvd
Ste 101
Westminster, CA 92683
Phone (714) 839-5899
8251 Westminster Blvd
Ste 110
Westminster, CA 92683
Phone (714) 465-2222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
- pha.tran.1@33925.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IDGIBD
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Westminster, CA
- NPI 1154144988
-
- Internal Medicine Physician
- Westminster, CA
- NPI 1184122624
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1447848247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11161 WOODBURY RD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433533",
"telephone_number": "408-646-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11161 WOODBURY RD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433533",
"telephone_number": "408-646-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.