Individual provider Active NPI

Tam B. Tran, NP

  • Family Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1548448236
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17915 Issued in CA
Practice address
225 W Sycamore Ave
El Segundo, CA 90245-2218
Phone
(626) 232-4748
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17915 CA Primary

Addresses

Primary practice location

225 W Sycamore Ave
El Segundo, CA 90245-2218

Mailing address

225 W Sycamore Ave
El Segundo, CA 90245-2218
Phone (626) 232-4748

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
I20090128000580 CA Practitioner - Nurse Practitioner 5698839488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2110 E El Segundo Blvd
El Segundo, CA 90245-4502

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

855 Manhattan Beach Blvd
Manhattan Beach, CA 90266-4965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17915CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Aug 1, 2023 Accepting new patients
St. Johns Community Health CurrentSince Sep 17, 2015 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Sep 17, 2015 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

2110 E El Segundo Blvd
Ste 200
El Segundo, CA 90245
Phone (310) 517-7030

855 Manhattan Beach Blvd
Ste 201
Manhattan Beach, CA 90266
Phone (310) 939-7847

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

602 Deep Valley Dr
Ste 300
Rolling Hills Estates, CA 90274
Phone (310) 517-4692

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1548448236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W SYCAMORE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452218",
            "telephone_number": "626-232-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W SYCAMORE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452218",
            "telephone_number": "626-232-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAM",
        "middle_name": "B.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.