NPIMap

Individual provider Active NPI

Baotran Trannguyen, PA-C

  • Physician Assistant
  • Newport, OR
National Provider Identifier
1174015879
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA226830 Issued in OR
Practice address
705 SW Coast Hwy Ste B
Newport, OR 97365-5017
Phone
(541) 574-4860
NPI assigned
May 30, 2018
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA226830 OR Primary
Surgical Physician Assistant 363AS0400X PA6553 MA

Addresses

Primary practice location

705 SW Coast Hwy Ste B
Newport, OR 97365-5017

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (781) 624-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address btrannguyen340228@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180813000402 MA Practitioner - Physician Assistant 7517215247 Reassigns benefits to 2 organizations
I20230627003245 SC Practitioner - Physician Assistant 7517215247 Reassigns benefits to 2 organizations
I20251226000452 OR Practitioner - Physician Assistant 7517215247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4680SCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PA226830ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 5, 2026 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 5, 2026 Accepting new patients
McLeod Physician Associates II Surgical CurrentSince Sep 24, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jun 19, 2023 Accepting new patients

Locations

705 SW Coast Hwy
Ste B
Newport, OR 97365
Phone (541) 574-4860

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: btrannguyen340228@samhealth.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1174015879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SW COAST HWY STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655017",
            "telephone_number": "541-574-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRANNGUYEN",
        "first_name": "BAOTRAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA226830",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA6553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "btrannguyen340228@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "705 SW Coast Hwy Ste B",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973655017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.