Individual provider Active NPI

Pha Tran, PA

  • Medical Physician Assistant
  • Garden Grove, CA
National Provider Identifier
1447848247
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414000954 CA Practitioner - Physician Assistant 3577938042 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62502CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
In N Out Urgent Care, Inc. CurrentSince Jul 10, 2025 Accepting new patients
VM Medical Group CurrentSince Jul 10, 2025 Accepting new patients
The Roads Foundation, Inc. CurrentSince Apr 17, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD
  • Direct secure messaging: pha.tran.1@33925.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.