Individual provider Active NPI

Anna Phuong Tran, M.D.

  • Occupational Medicine Physician
  • Glendale, AZ
National Provider Identifier
1962523613
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
29334 Issued in AZ
Practice address
8811 N 51St Ave
Suite 107
Glendale, AZ 85302-4949
Phone
(623) 536-6788
Fax
(623) 536-9288
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 29334 AZ Primary

Addresses

Primary practice location

8811 N 51St Ave
Suite 107
Glendale, AZ 85302-4949

Mailing address

10058 E South Bend Dr
Scottsdale, AZ 85255-2540
Phone (480) 250-6326

Other names 1

  • Mrs. Phuong-Ly T. Tran Former name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcroft Medihealth Associates PA Family Medicine Past Accepting new patients
North Phoenix Internal Medicine PC PastSince May 12, 2018 Accepting new patients
Conroe Medihealth Associates PA Family Medicine Past Accepting new patients
Fountains Family Care, P.C. Family Medicine Past Accepting new patients

Organizations & group practices 4

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1962523613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058 E SOUTH BEND DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552540",
            "telephone_number": "480-250-6326",
            "fax_number": "623-536-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 N 51ST AVE",
            "address_2": "SUITE 107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024949",
            "telephone_number": "623-536-6788",
            "fax_number": "623-536-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANNA",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "29334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG-LY",
            "last_name": "TRAN",
            "middle_name": "T.",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.