Individual provider Active NPI

May Truc-Van Tran, PHARMACIST STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Garden Grove, CA
National Provider Identifier
1891307369
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
46630 Issued in CA
Practice address
13412 Kerry St
Garden Grove, CA 92844-2417
Phone
(480) 685-0843
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 46630 CA Primary

Addresses

Primary practice location

13412 Kerry St
Garden Grove, CA 92844-2417

Mailing address

13412 Kerry St
Garden Grove, CA 92844-2417
Phone (480) 685-0843

Other names 1

  • Van Truc Tran Former name

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
46630CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1891307369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442417",
            "telephone_number": "480-685-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442417",
            "telephone_number": "480-685-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MAY",
        "middle_name": "TRUC-VAN",
        "credential": "PHARMACIST STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "46630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAN",
            "last_name": "TRAN",
            "middle_name": "TRUC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.