Healthcare Provider Details

I. General information

NPI: 1144124249
Provider Name (Legal Business Name): KARINE TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 F ST
LINCOLN CA
95648-0075
US

IV. Provider business mailing address

8033 NORTHERN OAK CIR
SACRAMENTO CA
95828-6381
US

V. Phone/Fax

Practice location:
  • Phone: 916-756-3165
  • Fax:
Mailing address:
  • Phone: 916-477-0026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number55141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: