Individual provider Active NPI

Jacqueline V Tran, M.D.

  • Neurology Physician
  • Sacramento, CA
National Provider Identifier
1760486534
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G88236 Issued in CA
Practice address
2800 L St Ste 500
Sacramento, CA 95816-5616
Phone
(916) 454-6850
Fax
(916) 454-6852
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 33283 WA
Neurology Physician 2084N0400X G88236 CA Primary

Addresses

Primary practice location

2800 L St Ste 500
Sacramento, CA 95816-5616

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other practice location 1

16259 Sylvester Rd SW
Ste 503
Burien, WA 98166-3059
Phone (206) 246-3800

Other identifiers 1

IdentifierTypeStateIssuer
1101211MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813001734 CA Practitioner - Neurology 9133113806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Geisel School of Medicine at Dartmouth, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33283WAMDLegal Medicine
G88236CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Neurology CurrentSince Jan 16, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 16, 2018 Accepting new patients
Multicare Health System Past Accepting new patients
St Francis Community Hospital Past Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

8170 Laguna Blvd
Ste 113
Elk Grove, CA 95758
Phone (916) 478-6561

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

Interoperability endpoints

  • Direct secure messaging: jtran262342@hisp.ehr.sutterhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1760486534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 L ST STE 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165616",
            "telephone_number": "916-454-6850",
            "fax_number": "916-454-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16259 Sylvester Rd SW",
            "address_2": "Ste 503",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663059",
            "country_code": "US",
            "telephone_number": "206-246-3800",
            "fax_number": "206-246-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JACQUELINE",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "33283",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G88236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.