Active NPI
Mai Thanh Tran, PHARMD
- Pharmacist
- San Pedro, CA
National Provider Identifier
1902223951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70262
- Practice address
- 28000 S Western Ave
Unit 321
San Pedro, CA 90732-1202 - Phone
- (408) 833-3347
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70262 | CA | Primary |
Addresses
Primary practice location
28000 S Western Ave
Unit 321
San Pedro, CA 90732-1202
Mailing address
28000 S Western Ave
Unit 321
San Pedro, CA 90732-1202
Phone (408) 833-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91188835F93358 | Other | CA | MEDICAL |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70262 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1902223951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 S WESTERN AVE",
"address_2": "UNIT 321",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907321202",
"telephone_number": "408-833-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 S WESTERN AVE",
"address_2": "UNIT 321",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907321202",
"telephone_number": "408-833-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAI",
"middle_name": "THANH",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "91188835F93358",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.