Active NPI
Nam Hua Tran, MD
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1720072895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A41329
- Practice address
- 25 N 14TH St
Suite 780
San Jose, CA 95112-6204 - Phone
- (408) 279-2377
- Fax
- (408) 279-2395
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A41329 | CA | Primary |
Addresses
Primary practice location
25 N 14TH St
Suite 780
San Jose, CA 95112-6204
Mailing address
25 N 14TH St
Suite 780
San Jose, CA 95112-6204
Phone (408) 279-2377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A413290 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41329 | CA | MD | Dentist |
| A41329 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1720072895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N 14TH ST",
"address_2": "SUITE 780",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-279-2377",
"fax_number": "408-279-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N 14TH ST",
"address_2": "SUITE 780",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-279-2377",
"fax_number": "408-279-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "NAM",
"middle_name": "HUA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A41329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A413290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.