Individual provider Active NPI

Vangie Tran, FNP-BC

  • Family Nurse Practitioner
  • Aliso Viejo, CA
National Provider Identifier
1710258462
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21351 Issued in CA
Practice address
26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392
Phone
(626) 524-5783
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21351 CA Primary

Addresses

Primary practice location

26891 Aliso Creek Rd
Aliso Viejo, CA 92656-3392

Mailing address

2521 Whispering TRL
Irvine, CA 92602-0826
Phone (626) 524-5783

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
I20151019002454 CA Practitioner - Nurse Practitioner 5698935799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Array Skin Therapy a Medical CorporationGroup PAC ID 1557534278, 9 clinicians

Practice addresses (Care Compare)

26932 Oso Pkwy
Suite 270
Mission Viejo, CA 92691-5810
Phone (714) 313-9668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Array Skin Therapy, a Medical Corporation CurrentSince Dec 20, 2016 Accepting new patients
California Heart Associates Past Accepting new patients
Srilatha a. Reddy, M.D., P.a PastSince Oct 15, 2001 Accepting new patients

Locations

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

20162 SW Birch St
Ste 260
Newport Beach, CA 92660
Phone (714) 549-2335

1601 Dove St
Ste 184
Newport Beach, CA 92660
Phone (949) 600-5325

2850 Artesia Blvd
Ste 208
Redondo Beach, CA 90278
Phone (310) 370-0371

161 Thunder Dr
Ste 209
Vista, CA 92083
Phone (760) 305-7010

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1710258462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 WHISPERING TRL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020826",
            "telephone_number": "626-524-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26891 ALISO CREEK RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563392",
            "telephone_number": "626-524-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VANGIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.