Active NPI
Mai Tran, FNP
- Nurse Practitioner
- Garden Grove, CA
National Provider Identifier
1619178399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP 17142
- Practice address
- 7761 Garden Grove Blvd
Garden Grove, CA 92841-4200 - Phone
- (714) 898-8888
- Fax
- (714) 898-8888
- NPI assigned
- May 30, 2007
- Last updated
- Mar 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP 17142 | CA | Primary |
Addresses
Primary practice location
7761 Garden Grove Blvd
Garden Grove, CA 92841-4200
Mailing address
21885 Heatheridge Dr
Yorba Linda, CA 92887-2665
Phone (714) 623-2102
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 17142 | CA | MD | Nurse Practitioner |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mai.tran@nhanhoa.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1619178399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21885 HEATHERIDGE DR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928872665",
"telephone_number": "714-623-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7761 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414200",
"telephone_number": "714-898-8888",
"fax_number": "714-898-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAI",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP 17142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.