Healthcare Provider Details

I. General information

NPI: 1245848167
Provider Name (Legal Business Name): TUYET TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 ROWLAND WAY
NOVATO CA
94945-5009
US

IV. Provider business mailing address

601 VAN NESS AVE STE E3619
SAN FRANCISCO CA
94102-3200
US

V. Phone/Fax

Practice location:
  • Phone: 415-209-1300
  • Fax:
Mailing address:
  • Phone: 415-531-9047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA189389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: