Individual provider Active NPI

Justice Huy Duc Tran, M.D.

  • Obstetrics & Gynecology Physician
  • Avondale, AZ
National Provider Identifier
1013013358
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33525 Issued in AZ
Practice address
3400 N Dysart Rd
Building F, Ste 121 & 123
Avondale, AZ 85392-1003
Phone
(623) 792-8397
Fax
(623) 544-5187
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33525 AZ Primary
Obstetrics & Gynecology Physician 207V00000X A89473 CA

Addresses

Primary practice location

3400 N Dysart Rd
Building F, Ste 121 & 123
Avondale, AZ 85392-1003

Mailing address

9520 W Palm LN
Suite 200
Phoenix, AZ 85037-4403
Phone (877) 809-5092

Other identifiers 1

IdentifierTypeStateIssuer
939481MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050830000932 AZ Practitioner - Obstetrics/Gynecology 4981635844 Reassigns benefits to 3 organizations
I20250729004511 CA Practitioner - Obstetrics/Gynecology 4981635844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

27300 Iris Ave
Moreno Valley, CA 92555-4802
Phone (951) 243-0811

27350 Iris Ave
Moreno Valley, CA 92555-4802
Phone (866) 984-7483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89473CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Walk-in Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Dec 21, 2016 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Current Accepting new patients
Adelante Healthcare Inc Family Medicine CurrentSince Jan 18, 2011 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
Southern California Permanente Medical Group CurrentSince May 15, 2025 Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 15, 2025 Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Justice Tran MD PC PastSince Jul 11, 2005 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

13471 W Cornerstone Blvd
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

15351 W Bell Rd
Surprise, AZ 85374

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1013013358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374403",
            "telephone_number": "877-809-5092",
            "fax_number": "623-815-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "BUILDING F, STE 121 & 123",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-792-8397",
            "fax_number": "623-544-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JUSTICE",
        "middle_name": "HUY DUC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "33525",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A89473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.