Elaine Tran

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019253 Issued in CA

Practice address

901 Wilshire Blvd FL 3
Santa Monica, CA 90401-1854

Phone

(310) 829-8903

Fax

(424) 212-5933

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Afshin Akhavan D.O., a Professional Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1821210329
  Medicare reassignment NPD
• Providence Saint Johns Medical Foundation

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  Medicare reassignment NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1770241879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 S HOBART BLVD PH 61",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054255",
            "telephone_number": "650-534-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSHIRE BLVD FL 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011854",
            "telephone_number": "310-829-8903",
            "fax_number": "424-212-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900071661",
            "country_code": "US",
            "telephone_number": "323-203-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019253",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toxicity Assessors Global of Pennsylvania
• Julie Anna Toy
• Robert Mario Trafeli, D.O.
• Amanda Tran, MD
• David Nhat Tran, M.D.
• Franklin Tran
• Hong-Phuc Thi Tran, MD
• Irena Tran, DPT
• Kayla T Tran, ACNP
• Kyle Tran

• Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.