Individual provider Active NPI

Jessica Thanh Vy Tran

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1912513581
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83291 Issued in CA
Practice address
5757 Wilshire Blvd Ste 320
Los Angeles, CA 90036-3686
Phone
(310) 935-1899
NPI assigned
Sep 18, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83291 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 320
Los Angeles, CA 90036-3686

Mailing address

5757 Wilshire Blvd Ste 320
Los Angeles, CA 90036-3686
Phone (310) 935-1899

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
83291CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Prescription Management CurrentSince Sep 1, 2020 Accepting new patients

Locations

5757 Wilshire Blvd
Ste 320
Los Angeles, CA 90036
Phone (310) 935-1899

Organizations & group practices 1

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1912513581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363686",
            "telephone_number": "310-935-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363686",
            "telephone_number": "310-935-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JESSICA",
        "middle_name": "THANH VY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.