Organization Active NPI

Justice Tran MD PC

  • Obstetrics Physician
  • Safford, AZ
National Provider Identifier
1902022080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
33525 Issued in AZ
Legal business name
JUSTICE TRAN MD PC
Practice address
1498 S 20TH Ave
Safford, AZ 85546-4052
Phone
(928) 348-8208
Fax
(928) 348-8209
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Justice D Tran, MD
Title
President
Phone
(928) 348-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 33525 AZ Primary

Addresses

Primary practice location

1498 S 20TH Ave
Safford, AZ 85546-4052

Mailing address

1498 S 20TH Ave
Safford, AZ 85546-4052
Phone (928) 348-8208

Other identifiers 1

IdentifierTypeStateIssuer
939481MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1498 S 20th Ave
Safford, AZ 85546
Phone (928) 348-3801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902022080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464052",
            "telephone_number": "928-348-8208",
            "fax_number": "928-348-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464052",
            "telephone_number": "928-348-8208",
            "fax_number": "928-348-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE TRAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JUSTICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-348-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "33525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.