Active NPI
David Tran, PTA
- Physical Therapy Assistant
- Reseda, CA
National Provider Identifier
1568106920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 49892
- Practice address
- 18039 Sherman Way Ste 317
Reseda, CA 91335-4630 - Phone
- (818) 343-4303
- Fax
- (818) 343-4484
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 49892 | CA | Primary |
Addresses
Primary practice location
18039 Sherman Way Ste 317
Reseda, CA 91335-4630
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Phone (661) 250-9940
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1568106920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25115 AVENUE STANFORD STE B135",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551290",
"telephone_number": "661-250-9940",
"fax_number": "661-250-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18039 SHERMAN WAY STE 317",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354630",
"telephone_number": "818-343-4303",
"fax_number": "818-343-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DAVID",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "49892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.