Individual provider Active NPI

Thuy Tram Thi Tran

  • Nurse Practitioner
  • Westminster, CA
National Provider Identifier
1831589837
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001952 Issued in CA
Practice address
15606 Brookhurst St Ste B
Westminster, CA 92683-7582
Phone
(714) 531-0000
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001952 CA Primary

Addresses

Primary practice location

15606 Brookhurst St Ste B
Westminster, CA 92683-7582

Mailing address

524 S Cinnamon Way
Orange, CA 92866-3359
Phone (714) 244-7074

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002582 CA Practitioner - Nurse Practitioner 6608181326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Western University of Health Sciences College of Dental Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Ba Ngo MD IncGroup PAC ID 5991895799, 3 clinicians

Practice addresses (Care Compare)

17100 Euclid at Warner
Fountain Valley, CA 92708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001952CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Ba Ngo MD Inc CurrentSince May 30, 2015 Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

9972 Westminster Ave
Ste 108
Garden Grove, CA 92844
Phone (714) 531-0000

15606 Brookhurst St
Ste B
Westminster, CA 92683
Phone (714) 531-0000

Interoperability endpoints

  • Direct secure messaging: ttran240216@direct.memorialcare.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1831589837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S CINNAMON WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663359",
            "telephone_number": "714-244-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837582",
            "telephone_number": "714-531-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THUY TRAM",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.