Individual provider Active NPI

Thai Gia Dieu Tran, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Anaheim, CA
National Provider Identifier
1679809263
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20656 Issued in CA
Practice address
934 S Euclid St
Anaheim, CA 92802-1523
Phone
(714) 254-0224
Fax
(714) 254-0234
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20656 CA
Medical Physician Assistant 363AM0700X PA20656 CA Primary

Addresses

Primary practice location

934 S Euclid St
Anaheim, CA 92802-1523

Mailing address

934 S Euclid St
Anaheim, CA 92802-1523
Phone (714) 254-0224

Other practice location 1

13421 Chestnut St
Westminster, CA 92683-2607
Phone (714) 725-4414

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
I20120515000647 CA Practitioner - Physician Assistant 5395908156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De la Paz Medical Centre IncGroup PAC ID 2567780307, 2 clinicians

Practice addresses (Care Compare)

934 S Euclid St
Anaheim, CA 92802-1523
Phone (714) 254-0224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20656CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince Mar 17, 2012 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1679809263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021523",
            "telephone_number": "714-254-0224",
            "fax_number": "714-254-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021523",
            "telephone_number": "714-254-0224",
            "fax_number": "714-254-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13421 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832607",
            "country_code": "US",
            "telephone_number": "714-725-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THAI GIA",
        "middle_name": "DIEU",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20656",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.