Provider Demographics
NPI:1528283785
Name:TRANKINA, FRANK JAMES (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JAMES
Last Name:TRANKINA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11144 BUCKSKIN AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-6400
Mailing Address - Country:US
Mailing Address - Phone:909-627-3513
Mailing Address - Fax:
Practice Address - Street 1:11144 BUCKSKIN AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-6400
Practice Address - Country:US
Practice Address - Phone:909-627-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6526103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA006526CAOtherPRESCRIBING PSYCHOLOGIST
CAPSY065260Medicaid
CAPSY6526OtherLICENSE NUMBER
CAP26063OtherREGIONAL CENTER VENDER NO
AZ0562OtherLICENSE NUMBER
CA7773OtherDIPLOMATE FORENSIC MED