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ST. PAUL MEDICAL CLINIC A PROFESSIONAL CORPORATION
NPI 1629142062
Internal Medicine in Van Nuys, CA

Active since November 18, 2006CLIA 05D1041282 · Waiver
15216 VANOWEN ST STE 2A, VAN NUYS, CA 91405(818) 989-2406(818) 989-0696 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Paul Medical Clinic A Professional Corporation NPPES

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

ST. PAUL MEDICAL CLINIC A PROFESSIONAL CORPORATION (NPI 1629142062) is a healthcare organization registered as an internal medicine in Van Nuys, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Anhtuan Dang Tran, President, as its authorized official.

NPPES Registry Identity

NPI1629142062
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. PAUL MEDICAL CLINIC A PROFESSIONAL CORPORATION
Location Address15216 VANOWEN ST STE 2AVan Nuys, CA 91405-3679
Mailing Address15216 Vanowen St Ste 2aVan Nuys, CA 91405-3679 · (818) 989-2406 · Fax (818) 989-0696
Phone(818) 989-2406
Fax(818) 989-0696
Organization SubpartNo
Authorized OfficialAnhtuan Dang TranPresident · (818) 989-2406
Enumeration DateNovember 18, 2006
Last NPPES UpdateJuly 1, 2019
✔ NPI 1629142062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A90428
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License A90428 (CA)
15216 VANOWEN ST STE 2A, Van Nuys, CA 91405
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Other Identifiers 1

Medicaid00A904280CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1041282

St Paul Medical Clinic · Van Nuys, CA
Active · expires Apr 6, 2028
CLIA Number05D1041282
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorAnhtuan D. Tran MD
Laboratory Phone(818) 989-2406
Laboratory LocationSt Paul Medical Clinic15216 Vanowen St Suite 2A, Van Nuys, CA 91405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ANHTUAN D. TRAN MD.
Internal Medicine
15216 VANOWEN ST STE 2A
VAN NUYS, CA 91405
Los Angeles County (818) 989-2406

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 St. Paul Medical Clinic A Professional Corporation's NPI number?

The NPI number for St. Paul Medical Clinic A Professional Corporation is 1629142062. It was assigned to this organization in the NPPES registry on November 18, 2006.

Where is St. Paul Medical Clinic A Professional Corporation located?

St. Paul Medical Clinic A Professional Corporation is located at 15216 Vanowen St Ste 2A, Van Nuys, CA 91405. The listed phone number is (818) 989-2406.

What is St. Paul Medical Clinic A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Paul Medical Clinic A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1041282) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Paul Medical Clinic A Professional Corporation was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.