Thai Gia Dieu Tran, PHYSICIAN ASSISTANT
Physician Assistant, Medical in Anaheim, CA. Individual provider (NPI-1).
NPI number1679809263
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1679809263
- Entity type
- Individual (NPI-1)
- Name
- Thai Gia Dieu Tran
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2009
- Certification date
- Apr 23, 2025
- Last updated
- Apr 24, 2025
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 | PA20656 | CA | Yes |
| 363A00000X | Physician Assistant | PA20656 | CA |
Practice location
934 S Euclid StAnaheim, CA 92802-1523
Phone 714-254-0224 · Fax 714-254-0234
Mailing address
934 S Euclid StAnaheim, CA 92802-1523
Phone 714-254-0224 · Fax 714-254-0234
Other practice locations
13421 Chestnut St
Westminster, CA 92683-2607
Westminster, CA 92683-2607
Phone 714-725-4414
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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