Individual provider Active NPI

Vinh Tan Tran, MD, PHD

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1023016375
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G62255 Issued in CA
Practice address
1808 Verdugo Blvd
Suite 206
Glendale, CA 91208-1412
Phone
(818) 790-7611
Fax
(818) 952-5634
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G62255 CA Primary

Addresses

Primary practice location

1808 Verdugo Blvd
Suite 206
Glendale, CA 91208-1412

Mailing address

1808 Verdugo Blvd
Suite 206
Glendale, CA 91208-1412
Phone (818) 790-7611

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000326 CA Practitioner - Ophthalmology 7214900406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 Verdugo Blvd
Suite 206
Glendale, CA 91208-1412
Phone (818) 790-7611

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62255CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Los Angeles, Inc. Ophthalmology CurrentSince Jan 1, 1997 Accepting new patients
Joyce Show MD Inc Current Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Southern California Retina Specialists, Inc. Ophthalmology PastSince Mar 1, 2016 Accepting new patients
West Hills Hospital Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

1808 Verdugo Blvd
Ste 206
Glendale, CA 91208
Phone (818) 790-7611

1808 Verdugo Blvd
Ste 103
Glendale, CA 91208
Phone (818) 790-0702

850 S Atlantic Blvd
Ste 105
Monterey Park, CA 91754
Phone (626) 943-0195

7320 Woodlake Ave
Ste 360
West Hills, CA 91307
Phone (818) 884-9378

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vtran@rcla.intellechartdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/sc76rs34

Organizations & group practices 7

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1023016375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081412",
            "telephone_number": "818-790-7611",
            "fax_number": "818-952-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081412",
            "telephone_number": "818-790-7611",
            "fax_number": "818-952-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VINH",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G62255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.