Individual provider Active NPI

Carol Tran, M.D.

  • Exclusive Provider Organization
  • Rosemead, CA
National Provider Identifier
1851461081
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A051985 Issued in CA
Practice address
9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919
Phone
(626) 573-8826
Fax
(626) 573-8861
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A051985 CA Primary

Addresses

Primary practice location

9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919

Mailing address

9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919
Phone (626) 573-8826

Other identifiers 5

IdentifierTypeStateIssuer
JNGUYENOtherCAPA
P057OtherCAPHW
CTRANOtherCAAPC
A51985MedicaidCA
A51985-POtherCAPIPA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A051985CAMDExclusive Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1851461081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 VALLEY BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701919",
            "telephone_number": "626-573-8826",
            "fax_number": "626-573-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 VALLEY BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701919",
            "telephone_number": "626-573-8826",
            "fax_number": "626-573-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A051985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "JNGUYEN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHW",
            "identifier": "P057",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APC",
            "identifier": "CTRAN",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A51985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIPA",
            "identifier": "A51985-P",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.