Individual provider Active NPI

Hugues Tran, PA-C

  • General Practice Physician
  • Moreno Valley, CA
National Provider Identifier
1053530147
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
PA13434 Issued in CA
Practice address
23900 Ironwood Ave
Moreno Valley, CA 92557-7151
Phone
(951) 485-2570
Fax
(951) 485-2070
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PA13434 CA Primary

Addresses

Primary practice location

23900 Ironwood Ave
Moreno Valley, CA 92557-7151

Mailing address

402 E Holt Blvd
Ontario, CA 91761-1618
Phone (909) 467-1605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13434CAMDAcupuncturist
PA13434CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1053530147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611618",
            "telephone_number": "909-467-1605",
            "fax_number": "909-467-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 IRONWOOD AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577151",
            "telephone_number": "951-485-2570",
            "fax_number": "951-485-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HUGUES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "PA13434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.