Provider Demographics
NPI:1902804230
Name:TRAN, DAVID D (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:TRAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 NAPLES ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3554
Mailing Address - Country:US
Mailing Address - Phone:415-325-5292
Mailing Address - Fax:
Practice Address - Street 1:1 SHRADER ST STE 510
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1034
Practice Address - Country:US
Practice Address - Phone:415-759-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4274213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00199870OtherRAILROAD
CAP00199870OtherRAILROAD
CAU83611Medicare UPIN
CA000E42741Medicare ID - Type UnspecifiedDALY CITY