Individual provider Active NPI

Khoi Ngoc Tran

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1912887159
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
91069 Issued in CA
Practice address
2330 S Main St
Santa Ana, CA 92707-3253
Phone
(714) 327-1884
NPI assigned
Sep 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 91069 CA Primary

Addresses

Primary practice location

2330 S Main St
Santa Ana, CA 92707-3253

Mailing address

807 N Modena St
Anaheim, CA 92801-3236

Other practice location 1

3049 E Coast Hwy
Corona Del Mar, CA 92625-2234
Phone (949) 734-2185

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
91069CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS LLC Community/Retail Pharmacy PastSince Sep 14, 2025 Accepting new patients
Garfield Beach CVS, L.L.C. Community/Retail Pharmacy PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1912887159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N MODENA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073253",
            "telephone_number": "714-327-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3049 E Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926252234",
            "country_code": "US",
            "telephone_number": "949-734-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHOI",
        "middle_name": "NGOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "91069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.