Active NPI
An Tran
- Pharmacist
- San Rafael, CA
National Provider Identifier
1720854193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88308
- Practice address
- 100 Smith Ranch Rd FL 2
San Rafael, CA 94903-5552 - Phone
- (510) 896-0394
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 88308 | CA | Primary |
Addresses
Primary practice location
100 Smith Ranch Rd FL 2
San Rafael, CA 94903-5552
Mailing address
70 Ondina Dr
Fremont, CA 94539-3721
Phone (510) 896-0394
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88308 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1720854193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ONDINA DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393721",
"telephone_number": "510-896-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SMITH RANCH RD FL 2",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949035552",
"telephone_number": "510-896-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "AN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.