Individual provider Active NPI

Justin Tran, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1902563935
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019190 Issued in CA
Practice address
2000 Stockton Blvd Ste 2003
Sacramento, CA 95817-1348
Phone
(916) 734-3574
Fax
(916) 734-0849
NPI assigned
Nov 24, 2021
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019190 CA Primary

Addresses

Primary practice location

2000 Stockton Blvd Ste 2003
Sacramento, CA 95817-1348

Mailing address

2000 Stockton Blvd Ste 2003
Sacramento, CA 95817-1348
Phone (916) 388-4032

Other practice location 1

8316 Redbank Way
Sacramento, CA 95829-6106
Phone (916) 388-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002975 CA Practitioner - Nurse Practitioner 9234505280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019190CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Nov 5, 2024 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Nov 5, 2024 Accepting new patients
Regents of the University of California CurrentSince Dec 18, 2023 Accepting new patients
Regents of the University of California CurrentSince Dec 18, 2023 Accepting new patients

Locations

4900 California Ave
Ste 100B
Bakersfield, CA 93309
Phone (818) 445-6935

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

2000 Stockton Blvd
Ste 2300
Sacramento, CA 95817
Phone (916) 734-3574

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: justin.tran.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1902563935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STOCKTON BLVD STE 2003",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171348",
            "telephone_number": "916-388-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STOCKTON BLVD STE 2003",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171348",
            "telephone_number": "916-734-3574",
            "fax_number": "916-734-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8316 Redbank Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958296106",
            "country_code": "US",
            "telephone_number": "916-388-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.