Active NPI
Duc Cong Tran, PT, DPT
- Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305861
- Practice address
- 9080 Irvine Center Dr
Irvine, CA 92618-4658 - Phone
- (949) 540-5641
- NPI assigned
- May 9, 2024
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy Inc | Physical Therapist | Current | 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.
-
dba OC Sports & Rehab
- Physical Therapist
- Foothill Ranch, CA
- NPI 1588985832
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.