NPI Code Detail JSON Logo

1639968639 NPI number — TAY THI BELLA TRAN

NPI Number: 1639968639
Health Care Provider/Practitioner: TAY THI BELLA TRAN

Information about “1639968639” NPI (TAY THI BELLA TRAN) exists in 1639968639 in HTML format HTML  |  1639968639 in plain Text format TXT  |  1639968639 in PDF (Portable Document Format) PDF  |  1639968639 in an XML format XML  formats.

NPI Number : 1639968639 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639968639",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRAN",
    "FirstName": "TAY THI",
    "MiddleName": "BELLA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRAN",
    "OtherFirstName": "BELLA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6442 ALEXANDRIA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92647-2524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-312-8118",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8942 GARDEN GROVE BLVD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN GROVE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92844-3332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-638-0852",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/05/2025",
    "LastUpdateDate": "05/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "35928",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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