Individual provider Active NPI

Hang Ngoc Tran, M.D.

  • Pediatrics Physician
  • Santa Paula, CA
National Provider Identifier
1174677157
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A106543 Issued in CA
Practice address
254 W Harvard Blvd Ste B
Santa Paula, CA 93060-3920
Phone
(805) 229-0200
NPI assigned
Jan 23, 2007
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M2843 TX
Pediatrics Physician 208000000X 026182 LA
Pediatrics Physician 208000000X D0063713 MD
Pediatrics Physician 208000000X A106543 CA Primary

Addresses

Primary practice location

254 W Harvard Blvd Ste B
Santa Paula, CA 93060-3920

Mailing address

1201 East-West Highway
Apt. 219
Silver Spring, MD 20910
Phone (301) 661-5025

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2978
Phone (202) 884-5000

Other identifiers 2

IdentifierTypeStateIssuer
176113201MedicaidTX
1054381MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hang.tran@ventura.cernerdirect.com Direct

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
I20090804000708 CA Practitioner - Pediatric Medicine 6103855366 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106543CAMDPediatrics Physician
D0063713MDMDPediatrics Physician
M2843TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 27, 2009 Accepting new patients
County of Ventura Current Accepting new patients
Children's Hospital Past Accepting new patients

Locations

254 W Harvard Blvd
Ste B
Santa Paula, CA 93060
Phone (805) 229-0200

254 W Harvard Blvd
Ste D
Santa Paula, CA 93060
Phone (805) 229-0200

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1174677157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EAST-WEST HIGHWAY",
            "address_2": "APT. 219",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-661-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 W HARVARD BLVD STE B",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603920",
            "telephone_number": "805-229-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102978",
            "country_code": "US",
            "telephone_number": "202-884-5000",
            "fax_number": "202-884-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HANG",
        "middle_name": "NGOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2843",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "026182",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0063713",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176113201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054381",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hang.tran@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "254 W Harvard Blvd Ste B",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930603920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.