KELLY TRAM TRAN (NPI# 1487295549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487295549 |
| Entity Type | Individual |
| Full Name | KELLY TRAM TRAN |
| Other Name | TRAM BAO TRAN |
| Credential | PA-C |
| Practice Address |
12488 Central Ave Chino CA 91710-2625 |
| Mailing Address |
9392 Downing Cir Westminster CA 92683-6520 |
| Practice Telephone | 9096130100 |
| Mailing Telephone | 7146543750 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57368 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538690193 | Kelly Tran | Pharmacist | 710 Lawrence Expy Dept 370, Santa Clara, CA 95051-5173 | 2017-03-24 |
| 1255799276 | Kelly Thao Tran | Registered Nurse | 12032 Fairchild St, Garden Grove, CA 92845-1529 | 2016-02-04 |
| 1487029500 | Kelly Quyen Tran | Licensed Practical Nurse | 126 S Railroad Ave, Staten Island, NY 10305-1434 | 2015-12-02 |
| 1093783797 | Kelly Hien Tran | Optometrist | 2923 El Camino Real, Tustin, CA 92782-8909 | 2006-03-09 |
| 1427661727 | Kelly Tran | Pharmacist | 3217 Montrose Blvd Ste 120, Houston, TX 77006-3944 | 2020-08-26 |
| 1063021095 | Kelly Tran | Behavior Technician | 300 E Business Way, Suite 200, Cincinnati, OH 45241-2384 | 2020-07-27 |
| 1558970756 | Kelly Tran | Physical Medicine & Rehabilitation | 1111 Summit Ave, Fort Worth, TX 76102-3425 | 2020-07-24 |
| 1851913107 | Kelly Lee Tran | Pharmacist | 7095 Market Place Dr, Goleta, CA 93117-5905 | 2020-05-09 |
| 1679133243 | Kelly Quan Tran | Counselor | 1635 W Main St # 100, Alhambra, CA 91801-1951 | 2019-06-17 |
| 1508429150 | Kelly Tran | Pharmacist | 3575 Atlantic Ave, Long Beach, CA 90807-4515 | 2019-04-18 |
| Street Address |
12488 CENTRAL AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174012124 | Steve D Do | Physician Assistant | 12488 Central Ave, Chino, CA 91710-2625 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605702 | Jaleesa Watkins | Physician Assistant | 16379 E Preserve Loop Unit 2161, Chino, CA 91708-9409 | 2020-06-25 |
| 1063038107 | Sarah Kim | Physician Assistant | 6598 Eucalyptus Ave, Chino, CA 91710-0115 | 2020-06-24 |
| 1982170544 | Brittney Endo | Physician Assistant | 15826 Cortland Ave, Chino, CA 91708-9348 | 2018-10-22 |
| 1174012124 | Steve D Do | Physician Assistant | 12488 Central Ave, Chino, CA 91710-2625 | 2018-05-04 |
| 1346517448 | Christopher Martin Pike | Physician Assistant | 13583 Sycamore Ln, Chino, CA 91710-6625 | 2011-11-17 |
| 1841587037 | Priya Patel | Physician Assistant | 12564 Central Ave Ste B, Chino, CA 91710-3573 | 2011-07-07 |
| 1407009624 | Daniel Hau Tran | Physician Assistant | 5475 Walnut Ave., My Family Medical Group, Chino, CA 91710-2699 | 2008-10-31 |
| 1164432035 | Mercy Rose Mulder I | Physician Assistant | 13768 Roswell Ave Ste 202, Chino, CA 91710-1405 | 2006-08-09 |
| 1346800349 | Yao Wang | Physician Assistant | 13768 Roswell Ave Ste 118, Chino, CA 91710-1402 | 2019-06-20 |
| 1104482546 | Paul Malherbe | Physician Assistant | 13768 Roswell Ave Ste 118, Chino, CA 91710-1402 | 2019-05-10 |
| Find all providers in CHINO | ||||
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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.