DR. PHUC CONG TRAN (NPI# 1457855942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457855942 |
| Entity Type | Individual |
| Full Name | DR. PHUC CONG TRAN |
| Credential | DMD |
| Practice Address |
333 Laws Ave Ukiah CA 95482 |
| Mailing Address |
333 Laws Ave Ukiah CA 95482-6540 |
| Practice Telephone | 5103812240 |
| Mailing Telephone | 5103812240 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 103962 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1780 Elmhurst Ln, Concord, CA 945212017 | 5103812240 | |
| 1257 Kilauea Ave # 100, Hilo, HI 967204205 | 8083333600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184748147 | Phuc Tran | Optometrist | 15600 Whittwood Ln, Whittier, CA 90603-2324 | 2007-03-16 |
| 1700313160 | Phuc Do Tran | Internal Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2017-05-16 |
| 1861942021 | Phuc Tran | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2016-10-11 |
| 1356718779 | Phuc T Tran | Nurse Practitioner | 575 Boylston St Fl 6, Boston, MA 02116-3607 | 2015-09-02 |
| 1275942575 | Phuc Tran | Pharmacist | 2308 S Range Ave, Denham Springs, LA 70726-5216 | 2014-08-12 |
| 1174942056 | Phuc D Tran | Internal Medicine | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-04-08 |
| 1033185400 | Phuc V. Tran | Internal Medicine | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2006-02-27 |
| Street Address |
333 LAWS AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970068 | Jorge Anibal Allende Jr. | Internal Medicine | 333 Laws Ave, Ukiah, CA 95482-6540 | 2005-05-31 |
| 1386262921 | Juliann Elizabeth Joseph | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2020-07-09 |
| 1164077038 | Neha Sharma | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2019-08-07 |
| 1053890905 | Liliane Robison | Nurse Practitioner | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-08-11 |
| 1508356221 | Stuart Christian Mauger | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-05-17 |
| 1831689025 | Kathryn Marie Manchester | Registered Nurse | 333 Laws Ave, Ukiah, CA 95482 | 2018-05-14 |
| 1730600859 | Yesica Jaimes Mendoza | Health Educator | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-06-28 |
| 1629503727 | Terese O'connell | Dietitian, Registered | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-04-26 |
| 1821520487 | Connie L Austin | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-03-31 |
| 1306397674 | Rebecca Jean Johnson | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| 1861829756 | Matthew Jeffers Dds | Dentist | 1119 S State St, Ukiah, CA 95482-6426 | 2013-10-09 |
| 1902030018 | Mark Ashiku | Dentist | 724 So. Dora Street, Ukiah, CA 95482-5336 | 2009-05-05 |
| 1871705715 | Phillip John Ashiku | Dentist | 724 So Dora Street, Ukiah, CA 95482 | 2007-05-04 |
| 1851410674 | Robert Wesley Barrington | Dentist | 660 N State Street, Ukiah, CA 95482 | 2007-03-29 |
| 1760557086 | Lily Elizabeth Brinckhaus | Dentist | 390 W Clay St Suite 2, Ukiah, CA 95482 | 2006-11-21 |
| 1447340880 | Shelly Marie Cheneweth | Dentist | 236 A Hospital Drive, Ukiah, CA 95482 | 2006-10-14 |
| 1417965500 | Dan M Dutro | Dentist | 715 S Dora St, Ukiah, CA 95482-5335 | 2006-08-04 |
| 1609880095 | Alan E Limbird | Dentist | 1119 S State Street, Ukiah, CA 95482 | 2006-07-28 |
| 1053889956 | Debora Rayhan D.d.s., Inc. | Dentist | 1252 Airport Park Blvd Ste D1, Ukiah, CA 95482-5979 | 2018-11-08 |
| Find all providers in UKIAH | ||||
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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.