Active NPI
Tony Toan Ngoc Tran, D.O.
- Psychiatry Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15767
- Practice address
- 13075 Blackbird St
Garden Grove, CA 92843-2902 - Phone
- (714) 530-6322
- NPI assigned
- Jun 20, 2013
- Last updated
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053750265 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 64.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020354 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Careathome Medical Practice Ca PC | Current | Accepting new patients | |
| The Guidance Center | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Partners in Wellness | Past | Accepting new patients | |
| Inspirations Home Care VI | Past | Accepting new patients | |
| Detroit Wayne County Health Authority | Past | 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
- 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.
-
- Psychiatry Physician
- Garden Grove, CA
- NPI 1467093849
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1952442949
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
- Community/Behavioral Health Agency
- Southgate, MI
- NPI 1609947027
-
- Psychiatry Physician
- Orange, CA
- NPI 1043455850
-
- Family Nurse Practitioner
- Newport Beach, CA
- NPI 1306516174
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Nuys, CA
- NPI 1710018841
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
-
dba Valley Vista Permanent Supportive Housing
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Assisted Living Facility
- Corona, CA
- NPI 1801536503
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Family Medicine Physician
- Detroit, MI
- NPI 1518461524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.