An Tranvan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G82264 Issued in CA

Practice address

105 N Jackson Ave Ste 103
San Jose, CA 95116-1913

Phone

(408) 251-9191

Fax

(408) 251-9192

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• An Tranvan, MD, Inc

  • Dermatology Physician
  • San Jose, CA
  • NPI 1174629117
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801992847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N JACKSON AVE STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161913",
            "telephone_number": "408-251-9191",
            "fax_number": "408-251-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N JACKSON AVE STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161913",
            "telephone_number": "408-251-9191",
            "fax_number": "408-251-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANVAN",
        "first_name": "AN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G82264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G822640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G822640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Hung Tranduc, M.D.
• Trang Uyen DO, M.D., Inc
• Phu Trang III
• Transform Your Life LLC
• Transtates Mobile Services LLC
• Diana Traub, ASW
• Laura Ann Traylor, LCSW
• Ilana Traynis, M.D.
• Treat Mental Health California LLC
• Brenly Erin Treece, RN

• Dermatology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.