Chrystyne Tran, PA-C
Physician Assistant, Medical in Lakewood, CA. Individual provider (NPI-1).
NPI number1417985136
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1417985136
- Entity type
- Individual (NPI-1)
- Name
- Chrystyne Tran
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 17054 | CA | Yes |
Practice location
5001 Lakewood BlvdLakewood, CA 90712-2412
Phone 562-361-5650
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-579-3203
Other practice locations
2600 Redondo Ave
Long Beach, CA 90806-2325
Long Beach, CA 90806-2325
Phone 562-988-7000
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Other Medical Physician Assistant providers in Lakewood, CA
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