Individual provider Active NPI

Jessica Tran, FNP

  • Nurse Practitioner
  • Los Gatos, CA
National Provider Identifier
1619753647
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024351 Issued in CA
Practice address
777 Knowles Dr Ste 16
Los Gatos, CA 95032-1448
Phone
(408) 374-1320
NPI assigned
Sep 5, 2023
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95024351 CA Primary

Addresses

Primary practice location

777 Knowles Dr Ste 16
Los Gatos, CA 95032-1448

Mailing address

969 Story Rd Unit 6060a
San Jose, CA 95122-4601
Phone (408) 223-8818

Other practice location 1

969 Story Rd Unit 6060A
San Jose, CA 95122-4601
Phone (408) 223-8818

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
I20240416003679 CA Practitioner - Nurse Practitioner 0143669606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024351CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce M Saal, MD a Medical Corporation CurrentSince Feb 27, 2024 Accepting new patients

Locations

777 Knowles Dr
Ste 16
Los Gatos, CA 95032
Phone (408) 374-1320

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619753647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STORY RD UNIT 6060A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224601",
            "telephone_number": "408-223-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR STE 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321448",
            "telephone_number": "408-374-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Story Rd Unit 6060A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951224601",
            "country_code": "US",
            "telephone_number": "408-223-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.