KELLY THAO TRAN NP
NPI 1255799276
Nurse Practitioner - Women's Health in Garden Grove, CA
About Kelly Thao Tran Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY THAO TRAN NP (NPI 1255799276) is an individual women's health provider in Garden Grove, California, licensed in California (NP95003689) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Thao Tran Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Tran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Tran's NPI number?
The NPI number for Kelly Tran is 1255799276. It was assigned to this individual provider in the NPPES registry on February 4, 2016.
Where is Kelly Tran located?
Kelly Tran practices at 12032 Fairchild St, Garden Grove, CA 92845. The listed phone number is (714) 249-5050.
What is Kelly Tran's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Kelly Tran enrolled in Medicare?
Yes. Kelly Tran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Tran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Tran reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Family Health Centers Of San Diego, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Tran was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Thao Tran, NP · NPI 1255799276
Women's Health physician in Garden Grove, California. Individual provider, active in the CMS NPPES registry since February 4, 2016.
## Identity
- **NPI:** 1255799276 (Entity type: Individual)
- **Enumerated:** February 4, 2016
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** NP95003689 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12032 FAIRCHILD ST, Garden Grove, CA 92845-1529
- **Phone:** (714) 249-5050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255799276) · Data from the CMS NPPES public registry.