Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Tram Tran, PA-C

Individual provider Medical Physician Assistant · NPI 1487295549

Kelly Tram Tran, PA-C is a Physician Assistant in Redondo Beach, California. Qualified in 2019, 7 years ago. Practices with William J Wickwire M D Inc a Professional Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

520 N Prospect Ave Ste 302
Redondo Beach, CA 90277-3043
Phone: (310) 798-1515
Fax: (310) 798-3131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57368 (CA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1487295549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice William J Wickwire M D Inc A Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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