Organization Active NPI

Dan B Tran Medical Corporation

Doing business as Coastal Vision Medical Group, Inc.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1124131065
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G83738 Issued in CA
Legal business name
DAN B TRAN MEDICAL CORPORATION
Doing business as
Coastal Vision Medical Group, Inc.
Practice address
4300 Long Beach Blvd Ste 400
Long Beach, CA 90807-2008
Phone
(562) 591-7700
Fax
(562) 591-1311
NPI assigned
Aug 16, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Michele M Stepp
Title
Credentialing
Phone
(714) 771-1213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OP12694 CA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G83738 CA Primary

Addresses

Primary practice location

4300 Long Beach Blvd Ste 400
Long Beach, CA 90807-2008

Mailing address

4300 Long Beach Blvd Ste 400
Long Beach, CA 90807-2008
Phone (562) 591-7700

Other practice location 1

15825 Laguna Canyon Rd Ste 201
Irvine, CA 92618-2127
Phone (949) 453-4661

Other practice location 2

14726 Ramona Ave Ste 200
Chino, CA 91710-5730
Phone (714) 771-1213

Other practice location 3

363 S Main St Ste 325
Orange, CA 92868-3818
Phone (714) 771-1213

Other names 2

  • Coastal Vision Medical Group, Inc. Doing business as
  • Coastal Vision Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000971 CA Part B Supplier - Clinic/Group Practice 0345274775 Receives reassigned benefits from 18 practitioners
Practice locations: Chino, CA; Cerritos, CA; Orange, CA; Norco, CA; Newport Beach, CA; Long Beach, CA; Irvine, CA

National Provider Directory

National Provider Directory
Tax ID family
Coastal Vision Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11829 South St
Ste 202
Cerritos, CA 90703
Phone (562) 402-4720

14726 Ramona Ave
Ste 290
Chino, CA 91710

4300 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 591-7700

709 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0840

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1124131065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-591-7700",
            "fax_number": "562-591-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-591-7700",
            "fax_number": "562-591-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15825 Laguna Canyon Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182127",
            "country_code": "US",
            "telephone_number": "949-453-4661",
            "fax_number": "714-771-7126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14726 Ramona Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105730",
            "country_code": "US",
            "telephone_number": "714-771-1213",
            "fax_number": "714-771-7126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 S Main St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683818",
            "country_code": "US",
            "telephone_number": "714-771-1213",
            "fax_number": "714-771-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAN B TRAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "714-771-1213"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP12694",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vision Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Vision Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Coastal Vision Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.