Phong Hung Tran, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G74233 Issued in CA

Practice address

15606 Brookhurst St
Suite a
Westminster, CA 92683-7581

Phone

(714) 531-7730

Fax

(714) 531-7793

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastline Medical Clinic Inc

  • Non-Pharmacy Dispensing Site
  • Westminster, CA
  • NPI 1093089286
  NPD (past) Authorized official
• Coastline Pain Center

  • Specialist
  • Westminster, CA
  • NPI 1659554061
  NPD (past) Authorized official

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1184609885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9658",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927289005",
            "telephone_number": "714-531-7730",
            "fax_number": "714-531-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST",
            "address_2": "SUITE A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837581",
            "telephone_number": "714-531-7730",
            "fax_number": "714-531-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHONG",
        "middle_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G74233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WG74233B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minh Q Tran, M.D.
• Nhon Tran, M.D
• Nicholas Thanh Tran, M.D.
• Oanh Thi Tran, D.D.S.
• Patricia Tran
• Phu H Tran, RPH
• Son H Tran, D.D.S.
• Tam Tran
• Thao Tran, O.D.
• Thien-Nga Tran

• Specialist in Westminster, CA
• Providers in Westminster, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.