Active NPI
Khoi Ngoc Tran
- Community/Retail Pharmacy
- Santa Ana, CA
National Provider Identifier
1912887159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 91069
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 91069 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Garfield Beach CVS, L.L.C. | Community/Retail Pharmacy | Past | 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.