Active NPI
Nina Tran, O.D.
- Optometrist
- Berkeley, CA
National Provider Identifier
1629082318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13068
- Practice address
- 110A Minor Hall Addition
UC Berkeley Clinical Research Center
Berkeley, CA 94720-2020 - Phone
- (510) 642-9649
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13068 | CA | Primary |
Addresses
Primary practice location
110A Minor Hall Addition
UC Berkeley Clinical Research Center
Berkeley, CA 94720-2020
Mailing address
73 Matisse CT
Pleasant Hill, CA 94523-4238
Phone (925) 954-8689
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13068 | CA | MD | Optometrist |
| 13068 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1629082318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 MATISSE CT",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234238",
"telephone_number": "925-954-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110A MINOR HALL ADDITION",
"address_2": "UC BERKELEY CLINICAL RESEARCH CENTER",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947202020",
"telephone_number": "510-642-9649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "NINA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.