NINA TRAN (PA) – Physician Assistant, NPI 1104559517

NINA TRAN (PA) is a healthcare provider. based in Alhambra, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA63977 (CA). The NPI Number for NINA TRAN (PA) is 1104559517

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NINA TRAN (PA)
NPI
1104559517
Phone
(626) 457-4240
Address
1000 S Fremont Ave
Enumeration Date
3 July 2022
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7144567002
Graduation Year
2023 (3 years ago)
PAC ID
6103264791
Group Practice PAC ID
0143128009
Professional Enrollment ID
I20240402001186
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for NINA TRAN (PA)

  • 1000 S Fremont Ave

    Alhambra, CA 918038800

    Phone: (626) 457-4240

    Type: Location

  • 10912 VICKERS DR

    GARDEN GROVE, CA 928402220

    Phone: (714) 604-7489

    Type: Mailing

  • 1000 S FREMONT AVE

    ALHAMBRA, CA 918038800

    Phone: (626) 457-4240

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Organon LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240402001186IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143128009View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Obstetrics/Gynecology, Gynecological OncologyCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to NINA TRAN (PA)?
The federal identifier for NINA TRAN (PA) is NPI 1104559517.
Is NINA TRAN (PA)'s NPI currently valid?
The extract we use shows NINA TRAN (PA) as active.
What does NINA TRAN (PA) treat or focus on?
Patients typically see NINA TRAN (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is NINA TRAN (PA)'s primary listing?
We display Alhambra, California because that is what the record indicates for NINA TRAN (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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