Individual provider Active NPI

Jasmine-Nicole Tran, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1679449359
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037475 Issued in CA
Practice address
17290 Newhope St Ste B
Fountain Valley, CA 92708-8205
Phone
(949) 522-1469
Fax
(714) 455-7074
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95037475 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95188410 CA

Addresses

Primary practice location

17290 Newhope St Ste B
Fountain Valley, CA 92708-8205

Mailing address

200 Freedom LN
Aliso Viejo, CA 92656-5876

Other practice location 1

200 Freedom Ln
Aliso Viejo, CA 92656-5876
Phone (626) 602-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 S Beverly Dr
Suite 700
Los Angeles, CA 90035-1151

200 Freedom LN
Aliso Viejo, CA 92656-5876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95037475CAMDPsychiatric/Mental Health Nurse Practitioner
95188410CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1679449359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FREEDOM LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 NEWHOPE ST STE B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927088205",
            "telephone_number": "949-522-1469",
            "fax_number": "714-455-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Freedom Ln",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926565876",
            "country_code": "US",
            "telephone_number": "626-602-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JASMINE-NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037475",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95188410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.