| Kelly Thao Tran, NP | |
|
12032 Fairchild St, Garden Grove, CA 92845-1529 | |
| (714) 249-5050 | |
| Not Available |
| Full Name | Kelly Thao Tran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 12032 Fairchild St, Garden Grove, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255799276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 770299 (California) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP95003689 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers Of San Diego Inc | 3476446378 | 233 |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Thao Tran, NP 12032 Fairchild St, Garden Grove, CA 92845-1529 Ph: (714) 249-5050 | Kelly Thao Tran, NP 12032 Fairchild St, Garden Grove, CA 92845-1529 Ph: (714) 249-5050 |
Ms. Jung Eun Yim, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844 Phone: 714-530-9633 Fax: 714-530-4410 | |
Ms. Jennifer Amos, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934 | |
Anh Nguyen Galleta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844 Phone: 714-583-6340 | |
Mrs. Adita Graciela Mckenzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-620-8883 | |
Tu Thuy Tonnu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015 | |
Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470 | |
Greshawnda Crayton, RN, FNP-BC, PHN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12100 Euclid St, Garden Grove, CA 92840 Phone: 714-741-3516 |