Active NPI
Michael Long Tran, MD
- Anesthesiology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G085353
- Practice address
- 4704 Hoen Ave
Santa Rosa, CA 95405 - Phone
- (707) 546-7979
- Fax
- (707) 546-7667
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G085353 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G085353 | CA |
Addresses
Primary practice location
4704 Hoen Ave
Santa Rosa, CA 95405
Mailing address
4704 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 546-7979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159045000 | Other | CA | US DEPT OF LABOR |
| P00124747 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Oregon Health Sciences University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2463 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone (707) 546-7979
4704 Hoen Ave
Santa Rosa, CA 95405-7824
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G085353 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Pain Management Group, Inc. | Pain Medicine | Current | Accepting new patients |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Sutter Coast Hospital | Past | Accepting new patients | |
| Riverside Medical Group PC | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| North Coast Medical Center Inc | Anesthesiology | Past | Accepting new patients |
Locations
2463 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 527-7535
4704 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 546-7979
Organizations & group practices 6
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.
-
- Pain Medicine Physician
- Santa Rosa, CA
- NPI 1154630044
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Rosa, CA
- NPI 1932305968
Anesthesiology
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1508821646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1013927110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4704 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-546-7979",
"fax_number": "707-546-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-546-7979",
"fax_number": "707-546-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MICHAEL",
"middle_name": "LONG",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G085353",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G085353",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "159045000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00124747",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.