Individual provider Active NPI

Tony Toan Ngoc Tran, D.O.

  • Psychiatry Physician
  • Garden Grove, CA
National Provider Identifier
1053750265
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15767 Issued in CA
Practice address
13075 Blackbird St
Garden Grove, CA 92843-2902
Phone
(714) 530-6322
NPI assigned
Jun 20, 2013
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101020354 MI
Psychiatry Physician 2084P0800X 15767 CA Primary

Addresses

Primary practice location

13075 Blackbird St
Garden Grove, CA 92843-2902

Mailing address

360 E 1St St # 567
Tustin, CA 92780-3211
Phone (949) 800-8487

Other practice location 1

1200 N Main St # 200
Santa Ana, CA 92701-3640
Phone (714) 480-6767

Other practice location 2

3031 W Grand Blvd Ste 450
Suite 450
Detroit, MI 48202-3046
Phone (313) 871-3751

Other practice location 3

600 Anton Blvd Fl 11
Costa Mesa, CA 92626
Phone (623) 374-7774

Other identifiers 1

IdentifierTypeStateIssuer
1053750265MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20150428001003 MI Practitioner - Psychiatry 5597084459 Reassigns benefits to 1 organization
I20180425002160 CA Practitioner - PsychiatryPractitioner - Neuropsychiatry 5597084459 Reassigns benefits to 4 organizations
Practice locations: Anaheim, CA; Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tony Tran D O IncGroup PAC ID 4789017831, 2 clinicians
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

13075 Blackbird St
Garden Grove, CA 92843-2902
Phone (714) 530-6322

520 S Lafayette Park PL
FL 3
Los Angeles, CA 90057-5400
Phone (213) 252-2100

Merit-based Incentive Payment System (MIPS)

Final score
19.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020354MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jan 10, 2023 Accepting new patients
Careathome Medical Practice Ca PC CurrentSince Sep 1, 2023 Accepting new patients
The Guidance Center CurrentSince Feb 17, 2015 Accepting new patients
Special Service for Groups, Inc. CurrentSince Sep 9, 2020 Accepting new patients
Telecare Corporation CurrentSince Jan 10, 2023 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Sep 9, 2020 Accepting new patients
Partners in Wellness Past Accepting new patients
Inspirations Home Care VI PastSince Apr 3, 2022 Accepting new patients
Detroit Wayne County Health Authority PastSince Jul 6, 2020 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

600 Anton Blvd
Fl 11
Costa Mesa, CA 92626
Phone (714) 371-4115

12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

13101 Allen Rd
Bldg 4
Southgate, MI 48195
Phone (734) 374-2335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1053750265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 1ST ST # 567",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803211",
            "telephone_number": "949-800-8487",
            "fax_number": "877-827-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 BLACKBIRD ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432902",
            "telephone_number": "714-530-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Main St # 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013640",
            "country_code": "US",
            "telephone_number": "714-480-6767",
            "fax_number": "714-568-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 W Grand Blvd Ste 450",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023046",
            "country_code": "US",
            "telephone_number": "313-871-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Anton Blvd Fl 11",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "92626",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "fax_number": "855-420-6361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TONY",
        "middle_name": "TOAN NGOC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101020354",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "15767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053750265",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.