Individual provider Active NPI

Daniel Tran, M.D.

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1063574150
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77436 Issued in CA
Practice address
2765 E Florence Ave
Huntington Park, CA 90255-5750
Phone
(323) 588-6888
Fax
(323) 588-0087
NPI assigned
Dec 14, 2006
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G77436 CA Primary

Addresses

Primary practice location

2765 E Florence Ave
Huntington Park, CA 90255-5750

Mailing address

2765 E Florence Ave
Huntington Park, CA 90255-5750
Phone (323) 588-6888

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
I20080212000161 CA Practitioner - Family Practice 1153404363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3400 Ave of the Arts
Costa Mesa, CA 92626

5953 Atlantic Blvd
Maywood, CA 90270-3133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77436CAMDMarriage & Family Therapist
G77436CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ardmore Medical Group Inc General Practice CurrentSince May 28, 2002 Accepting new patients
Ardmore Medical Group General Practice CurrentSince May 28, 2002 Accepting new patients

Locations

3564 Santa Anita Ave
Ste A
El Monte, CA 91731
Phone (213) 792-4456

2765 E Florence Ave
Huntington Park, CA 90255
Phone (213) 792-4456

3500 Whittier Blvd
Ste 105
Los Angeles, CA 90023
Phone (213) 792-4456

3518 W 8th St
Los Angeles, CA 90005
Phone (213) 384-9949

4528 Slauson Ave
Maywood, CA 90270
Phone (213) 792-4456

5953 Atlantic Blvd
Maywood, CA 90270
Phone (323) 562-6170

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1063574150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555750",
            "telephone_number": "323-588-6888",
            "fax_number": "323-588-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555750",
            "telephone_number": "323-588-6888",
            "fax_number": "323-588-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.