Individual provider Active NPI

Viet Quoc Tran, M.D.

  • Emergency Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1154610939
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A125099 Issued in CA
Practice address
11911 Magnolia St
Garden Grove, CA 92841-2403
Phone
(714) 837-9534
NPI assigned
Apr 1, 2011
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A125099 CA Primary

Addresses

Primary practice location

11911 Magnolia St
Garden Grove, CA 92841-2403

Mailing address

11911 Magnolia St
Garden Grove, CA 92841-2403
Phone (714) 837-9534

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
I20150711000195 CA Practitioner - Emergency Medicine 9032421573 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125099CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
South Coast Emergency Medical Group Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Columbia Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2015 Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

Organizations & group practices 5

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1154610939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412403",
            "telephone_number": "714-837-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412403",
            "telephone_number": "714-837-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VIET",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A125099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.