Individual provider Active NPI

Lee Tran, PH.D.

  • Ph.D. Medical Genetics
  • Walnut Creek, CA
National Provider Identifier
1629593652
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Practice address
3276 McNutt Ave
Walnut Creek, CA 94597-1833
Phone
(925) 933-0107
NPI assigned
Aug 10, 2017
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Ph.D. Medical Genetics 170100000X Primary

Addresses

Primary practice location

3276 McNutt Ave
Walnut Creek, CA 94597-1833

Mailing address

251 Georgia St
Vallejo, CA 94590-5905

Other practice location 1

251 Georgia St
Vallejo, CA 94590-5905
Phone (707) 558-8195

Other practice location 2

17000 Arnold Dr
Sonoma, CA 95476-3242
Phone (707) 342-0625

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1629593652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 MCNUTT AVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945971833",
            "telephone_number": "925-933-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905905",
            "country_code": "US",
            "telephone_number": "707-558-8195",
            "fax_number": "707-558-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17000 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954763242",
            "country_code": "US",
            "telephone_number": "707-342-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.