Individual provider Active NPI

Annie Tam Tran, PT, DPT

  • Physical Therapist
  • Brea, CA
National Provider Identifier
1619540317
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300437 Issued in CA
Practice address
3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone
(714) 256-5074
Fax
(714) 256-0770
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300437 CA Primary

Addresses

Primary practice location

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735

Mailing address

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 256-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907002768 CA Practitioner - Physical Therapist in Private Practice 8921404518 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

400 N Tustin Ave
Suite 140
Santa Ana, CA 92705-3879
Phone (844) 316-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300437CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
Livara Health Medical Group PC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 21, 2022 Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients

Locations

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

23161 Lake Center Dr
Ste 120
Lake Forest, CA 92630

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

400 N Tustin Ave
Ste 140
Santa Ana, CA 92705

Organizations & group practices 12

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1619540317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANNIE",
        "middle_name": "TAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.