Individual provider Active NPI

Quang Dao Tran, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1497269864
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007611 Issued in CA
Practice address
2491 Pacific Ave
Long Beach, CA 90806-2900
Phone
(562) 989-1322
NPI assigned
Nov 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007611 CA Primary

Addresses

Primary practice location

2491 Pacific Ave
Long Beach, CA 90806-2900

Mailing address

18104 Mescal St
Rowland Heights, CA 91748-4312
Phone (626) 200-5931

Other practice location 1

1187 E Anaheim St
Long Beach, CA 90813-3662
Phone (626) 200-5931

Other practice location 2

780 Atlantic Ave
Long Beach, CA 90813-4565
Phone (626) 558-3084

Other identifiers 1

IdentifierTypeStateIssuer
95007611OtherCABRN

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
I20240208004616 CA Practitioner - Nurse Practitioner 3476996117 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Care Health Group CurrentSince Jan 15, 2024 Accepting new patients
Serenity Care Health Group CurrentSince Jan 15, 2024 Accepting new patients
Isaias de Guzman Paja Jr. MD Inc CurrentSince Apr 10, 2024 Accepting new patients
The Vidal Womans Medical Clinic Inc. Past Accepting new patients

Locations

780 Atlantic Ave
Long Beach, CA 90813
Phone (562) 624-1111

1930 E Anaheim St
Long Beach, CA 90813
Phone (562) 478-4102

2491 Pacific Ave
Ste 3
Long Beach, CA 90806
Phone (562) 682-1617

1800 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 478-0460

515 S Flower St
Fl 18
Los Angeles, CA 90071
Phone (310) 748-8142

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1497269864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 MESCAL ST",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484312",
            "telephone_number": "626-200-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2491 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062900",
            "telephone_number": "562-989-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1187 E Anaheim St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133662",
            "country_code": "US",
            "telephone_number": "626-200-5931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908134565",
            "country_code": "US",
            "telephone_number": "626-558-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUANG",
        "middle_name": "DAO",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "95007611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.