Individual provider Active NPI

Alan Anh Tuyen Tran

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1841985256
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303934 Issued in CA
Practice address
2850 Artesia Blvd Ste 207
Redondo Beach, CA 90278-3413
Phone
(310) 371-4774
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303934 CA Primary

Addresses

Primary practice location

2850 Artesia Blvd Ste 207
Redondo Beach, CA 90278-3413

Mailing address

631 S Gertruda Ave
Redondo Beach, CA 90277-4246
Phone (310) 465-5396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
303934CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Physical Therapy Inc. Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Kiley Chiropractic PastSince Apr 16, 2023 Accepting new patients

Locations

2850 Artesia Blvd
Ste 207
Redondo Beach, CA 90278
Phone (310) 371-4774

Organizations & group practices 2

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1841985256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S GERTRUDA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774246",
            "telephone_number": "310-465-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "310-371-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ALAN",
        "middle_name": "ANH TUYEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.