Organization Active NPI

Tran Professional Chiropractic Corp.

Doing business as Trinity Chiropractic

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1639368566
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25526 Issued in CA
Legal business name
TRAN PROFESSIONAL CHIROPRACTIC CORP.
Doing business as
Trinity Chiropractic
Practice address
5114 El Cajon Blvd
Suite 1
San Diego, CA 92115-4723
Phone
(619) 255-8880
Fax
(619) 286-0418
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Hien Luu Tran, DC
Title
President
Phone
(619) 255-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25526 CA Primary

Addresses

Primary practice location

5114 El Cajon Blvd
Suite 1
San Diego, CA 92115-4723

Mailing address

5114 El Cajon Blvd
Suite 1
San Diego, CA 92115-4723
Phone (619) 255-8880

Other identifiers 1

IdentifierTypeStateIssuer
GDC000510MedicaidCA

Other names 1

  • Trinity Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5114 El Cajon Blvd
Apt 1
San Diego, CA 92115
Phone (619) 255-8880

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1639368566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 EL CAJON BLVD",
            "address_2": "SUITE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154723",
            "telephone_number": "619-255-8880",
            "fax_number": "619-286-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 EL CAJON BLVD",
            "address_2": "SUITE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154723",
            "telephone_number": "619-255-8880",
            "fax_number": "619-286-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN PROFESSIONAL CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "LUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-255-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.