NPIMap

Organization Active NPI

Lily Tulan Tran, DDS, a Professional Dental Corpopration

Doing business as Tustin Family Dentistry

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1780826974
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41801 Issued in CA
Legal business name
LILY TULAN TRAN, DDS, A PROFESSIONAL DENTAL CORPOPRATION
Doing business as
Tustin Family Dentistry
Practice address
2126 N Tustin Ave
Santa Ana, CA 92705-7828
Phone
(714) 558-9236
Fax
(714) 558-9237
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Lily Tulan Tran, DDS.NPI 1336255041
Title
President
Phone
(714) 558-9236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41801 CA Primary

Addresses

Primary practice location

2126 N Tustin Ave
Santa Ana, CA 92705-7828

Mailing address

2126 N Tustin Ave
Santa Ana, CA 92705-7828
Phone (714) 558-9236

Other identifiers 1

IdentifierTypeStateIssuer
B4180101OtherCACALIFORNIA MEDI-CAL DENTAL PROGRAM

Other names 1

  • Tustin Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2126 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 558-9236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1780826974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057828",
            "telephone_number": "714-558-9236",
            "fax_number": "714-558-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057828",
            "telephone_number": "714-558-9236",
            "fax_number": "714-558-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY TULAN TRAN, DDS, A PROFESSIONAL DENTAL CORPOPRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "TULAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-558-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDI-CAL DENTAL PROGRAM",
            "identifier": "B4180101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.