PHUONG THI KIM TRAN (NPI# 1063532232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063532232 |
| Entity Type | Individual |
| Full Name | PHUONG THI KIM TRAN |
| Credential | PA-C |
| Practice Address |
5717 Pacific Center Blvd Ste 200 San Diego CA 92121-4250 |
| Mailing Address |
10444 Flanders Cv San Diego CA 92126-3031 |
| Practice Telephone | 8588591188 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 18370 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518326107 | Phuong Tran | Nurse Practitioner | 207 S Santa Anita St Ste P05, San Gabriel, CA 91776-1159 | 2016-02-11 |
| 1497147227 | Phuong Tran | Counselor | 4300 School Blvd Ste 107, Monticello, MN 55362-4679 | 2015-03-03 |
| 1194142372 | Phuong Tran | Pharmacist | 2115 W Mills Dr, Orange, CA 92868-3429 | 2014-03-25 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| 1679841340 | Phuong My Tran | Nurse Practitioner | 10623 Bellaire, Houston, TX 77072-1499 | 2011-12-08 |
| 1407038292 | Phuong Q Tran | Pharmacist | 49 W Fordham Rd, Bronx, NY 10468-5322 | 2007-12-03 |
| 1710197678 | Phuong Huynh Tran | Internal Medicine | 5953 Dallas Pkwy Ste 200b, Plano, TX 75093-8189 | 2007-05-22 |
| 1821137142 | Phuong Lien Tran | Internal Medicine | 5129 North Broadway Street, Suite E, Chicago, IL 60640-3012 | 2007-02-05 |
| 1205908290 | Phuong Tran | Dentist | 1103 S Harbor Blvd Ste D, Santa Ana, CA 92704-2347 | 2006-11-14 |
| Street Address |
5717 PACIFIC CENTER BLVD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629000104 | Laurie Eastwood Raher | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2006-07-07 |
| 1053881235 | Ann Crane Durham | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2018-11-29 |
| 1356852206 | Maria Cecilia Cruz Jamito | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2017-10-18 |
| 1083139190 | Emily Ann Lee | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2017-08-09 |
| 1578087029 | Jessica Daniela Welch | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 | 2017-07-26 |
| 1912420142 | Samantha Corinne Lipka Hawley | Physician Assistant | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2017-07-19 |
| 1689101362 | Allysen Kelly | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2017-05-12 |
| 1992231096 | Julie Whitacre | Registered Nurse | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 | 2017-05-10 |
| 1568997336 | Katherine Anne Cupka | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2017-04-28 |
| 1396277489 | Kristin Leigh Beseke | Nurse Practitioner | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610870 | Josephine Hoa Ngoc Mai | Physician Assistant | 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 | 2019-07-16 |
| 1962966309 | Tashina Jessica Kraintz | Physician Assistant | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 |
| 1801314042 | Erika Dimitra Couris | Physician Assistant | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 |
| 1871859421 | Lisa Nakhleh Boyd | Physician Assistant | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 |
| 1760759104 | Brandon William Schroth | Physician Assistant | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 |
| 1891080750 | Jennifer K Nguyen | Physician Assistant | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 |
| 1942510698 | Laurie Anne Reeves | Physician Assistant | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 |
| 1568783108 | Monica Gable | Physician Assistant | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 |
| 1932422698 | Debbie Lo Flores | Physician Assistant | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 |
| 1801125034 | Lindsey R Hayes | Physician Assistant | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.