NPIMap

Individual provider Active NPI

Ngoc-Tram Gia Tran, D.O

  • Nephrology Physician
  • Long Beach, CA
National Provider Identifier
1003052739
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A12130 Issued in CA
Practice address
2888 Long Beach Blvd Ste 235
Long Beach, CA 90806-1562
Phone
(562) 803-2486
NPI assigned
Dec 31, 2008
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20A12130 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd Ste 235
Long Beach, CA 90806-1562

Mailing address

3553 Atlantic Ave # 1140
Long Beach, CA 90807-5606
Phone (562) 424-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730001868 CA Practitioner - NephrologyPractitioner - Internal Medicine 3678799483 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 215
Long Beach, CA 90806-1563
Phone (562) 424-4447

2888 Long Beach Blvd
Suite 235
Long Beach, CA 90806-1562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12130CAMDAddiction (Substance Use Disorder) Counselor
20A12130CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Ngoc-Tram G Tran DO Nephrology CurrentSince Jan 10, 2019 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
CHLB, LLC Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
H. a. Hamood M.D. Inc. Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Gardena Hospital LP Past Accepting new patients

Locations

435 Arden Ave
Ste 340
Glendale, CA 91203
Phone (818) 246-7245

2888 Long Beach Blvd
Ste 215
Long Beach, CA 90806
Phone (562) 290-8115

2888 Long Beach Blvd
Ste 235
Long Beach, CA 90806
Phone (562) 424-4447

3553 Atlantic Ave
#1140
Long Beach, CA 90807

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8d72d1d0-5e06-4c91-a553-c2a44e6b7fe5/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1003052739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 ATLANTIC AVE # 1140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075606",
            "telephone_number": "562-424-4447",
            "fax_number": "877-486-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 235",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061562",
            "telephone_number": "562-803-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGOC-TRAM",
        "middle_name": "GIA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A12130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.