Individual provider Active NPI

Lybia Tran Idian

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1730701558
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
677248 Issued in CA
Practice address
7575 Linda Vista Rd Apt 111
San Diego, CA 92111-5337
Phone
(848) 218-0314
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 677248 CA Primary

Addresses

Primary practice location

7575 Linda Vista Rd Apt 111
San Diego, CA 92111-5337

Mailing address

7575 Linda Vista Rd Apt 111
San Diego, CA 92111-5337

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cable

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

LicenseStateTypeSpecialty
677248CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1730701558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 LINDA VISTA RD APT 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 LINDA VISTA RD APT 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115337",
            "telephone_number": "848-218-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDIAN",
        "first_name": "LYBIA",
        "middle_name": "TRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "677248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cable",
            "affiliation": "N",
            "address_1": "7575 Linda Vista Rd Apt 111",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921115337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.