Individual provider Active NPI

Elizabeth Lisa Tran, DDS

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1528130770
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49816 Issued in CA
Practice address
1521 W Whittier Blvd
La Habra, CA 90631-3616
Phone
(562) 451-8841
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49816 CA Primary

Addresses

Primary practice location

1521 W Whittier Blvd
La Habra, CA 90631-3616

Mailing address

1521 W Whittier Blvd
La Habra, CA 90631-3616
Phone (562) 451-8841

Other practice location 1

1616 E 4th St Ste 120
Santa Ana, CA 92701-5182
Phone (714) 360-0798

Other identifiers 1

IdentifierTypeStateIssuer
G9393401MedicaidCA

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
49816CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth L. Tran D.M.D., Inc. General Practice CurrentSince May 29, 2022 Accepting new patients
Elizabeth L Tran Dental Corporation Current Accepting new patients

Locations

1521 W Whittier Blvd
La Habra, CA 90631
Phone (562) 690-7526

12627 Santa Gertrudes Ave
Ste F
La Mirada, CA 90638

1616 E 4th St
Ste 120
Santa Ana, CA 92701
Phone (714) 360-0798

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1528130770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313616",
            "telephone_number": "562-451-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313616",
            "telephone_number": "562-451-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 E 4th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927015182",
            "country_code": "US",
            "telephone_number": "714-360-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ELIZABETH",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9393401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.