Individual provider Active NPI

Duc Cong Tran, PT, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1154179570
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305861 Issued in CA
Practice address
9080 Irvine Center Dr
Irvine, CA 92618-4658
Phone
(949) 540-5641
NPI assigned
May 9, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305861 CA Primary

Addresses

Primary practice location

9080 Irvine Center Dr
Irvine, CA 92618-4658

Mailing address

655 Camino de Los Mares Ste 120
San Clemente, CA 92673-2809
Phone (949) 540-5641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112001479 CA Practitioner - Physical Therapist in Private Practice 4284168337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy IncGroup PAC ID 6709078967, 8 clinicians

Practice addresses (Care Compare)

655 Camino de Los Mares
Suite 120
San Clemente, CA 92673-2809
Phone (949) 716-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Inc Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients

Locations

4000 Barranca Pkwy
Ste 160
Irvine, CA 92604

24422 Avenida de la Carlota
Ste 380
Laguna Hills, CA 92653

23101 Lake Center Dr
Ste 100
Lake Forest, CA 92630
Phone (949) 297-3704

26730 Towne Centre Dr
Ste 204
Lake Forest, CA 92610
Phone (949) 398-0488

26691 Plaza
Ste 201
Mission Viejo, CA 92691

319 E Palm Dr
Ste B
Placentia, CA 92870

655 Camino de los Mares
Ste 120
San Clemente, CA 92673
Phone (949) 484-4148

Organizations & group practices 1

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1154179570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CAMINO DE LOS MARES STE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732809",
            "telephone_number": "949-540-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184658",
            "telephone_number": "949-540-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DUC",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.