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THERESA THANH THAO TRAN M.D.
NPI 1417496985
Pediatrics - Pediatric Emergency Medicine in San Diego, CA

Active since February 16, 2017PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8800 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Jun 5, 2020, Feb 16, 2017 (3 updates tracked since 2017).

About Theresa Thanh Thao Tran M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA THANH THAO TRAN M.D. (NPI 1417496985) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A155060) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417496985
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameTHERESA THANH THAO TRANCredential: M.D.
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(858) 966-8800
Sole ProprietorNo
Enumeration DateFebruary 16, 2017
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1417496985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in CA · A155060✔ Licensed in UT · 11749247-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License A155060 (CA)
3020 CHILDRENS WAY, San Diego, CA 92123
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1295 S Chipeta WaySalt Lake City, UT 84108-1287 · Phone (801) 587-7450
Location 225500 Medical Center DrMurrieta, CA 92562-5965 · Phone (951) 696-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Thanh Thao Tran M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALIE E. ELLINGTON MD
Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5944
SHANNA MICHAEL MILLER-NABAS RDN
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. ADRIANA HERRERA TREMOULET M.D.
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-7785
LORI MCCURDY M.S., CCC-SLP
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
San Diego County (858) 968-5838
MS. ANN M SUMIDA-JOHNSON M.A..
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
San Diego County (858) 966-5838
RICHARD JOHN NEWTON M.D.
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. SHAHFAR KHAN M.D.
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800
CARLY BETH WELCH CPNP-AC
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800

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 Theresa Tran's NPI number?

The NPI number for Theresa Tran is 1417496985. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Theresa Tran located?

Theresa Tran practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.

What is Theresa Tran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Theresa Tran enrolled in Medicare?

Yes. Theresa Tran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Tran was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.