Active NPI
Toan Hung Tran, M.D.
- General Practice Physician
- Stockton, CA
National Provider Identifier
1164500773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A37620
- Practice address
- 4545 Georgetown PL
C16
Stockton, CA 95207-6215 - Phone
- (209) 957-0641
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A37620 | CA | Primary |
Addresses
Primary practice location
4545 Georgetown PL
C16
Stockton, CA 95207-6215
Mailing address
4545 Georgetown PL
Ste C16
Stockton, CA 95207-6230
Phone (209) 957-0641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A376200 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080424000373 | CA | Practitioner - General Practice | 9436237955 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37620 | CA | MD | Pharmacist |
| A37620 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toanhungtran MD Inc | General Practice | Current | Accepting new patients |
Locations
4545 Georgetown Pl
Ste C16
Stockton, CA 95207
Phone (209) 227-9297
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 and National Provider Directory roles.
-
- General Practice Physician
- Stockton, CA
- NPI 1932383924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1164500773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL",
"address_2": "STE C16",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076230",
"telephone_number": "209-957-0641",
"fax_number": "209-957-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL",
"address_2": "C16",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076215",
"telephone_number": "209-957-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TOAN",
"middle_name": "HUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A37620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A376200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.