Active NPI
Tyler Thanh Tran
- Social Worker
- Fountain Valley, CA
National Provider Identifier
1497417596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW116562
- Practice address
- 18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912 - Phone
- (949) 278-4099
- NPI assigned
- Oct 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Social Worker | 104100000X | ASW116562 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912
Mailing address
18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW116562 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1497417596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 220",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 220",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912",
"telephone_number": "949-278-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TYLER",
"middle_name": "THANH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-06",
"last_updated": "2023-08-24",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW116562",
"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 Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.