Active NPI
Bao Cong Tran MD Inc
- Internal Medicine Physician
- Pomona, CA
National Provider Identifier
1184809329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A41661
- Legal business name
- BAO CONG TRAN MD INC
- Practice address
- 175 W la Verne Ave
#D
Pomona, CA 91676-2332 - Phone
- (909) 593-3388
- Fax
- (909) 596-0518
- NPI assigned
- Jan 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bao Cong Tran, MD
- Title
- President of the Corporation
- Phone
- (909) 593-3388
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A41661 | CA | Primary |
Addresses
Primary practice location
175 W la Verne Ave
#D
Pomona, CA 91676-2332
Mailing address
175 W la Verne Ave
#D
Pomona, CA 91676-2332
Phone (909) 593-3388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0087500 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900
255 W Bonita Ave
Pomona, CA 91767
Phone (909) 596-7733
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1457310211
-
- Obstetrics & Gynecology Physician
- Pomona, CA
- NPI 1942202825
-
- Obstetrics & Gynecology Physician
- Pomona, CA
- NPI 1396242186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1184809329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W LA VERNE AVE",
"address_2": "#D",
"city": "POMONA",
"state": "CA",
"postal_code": "916762332",
"telephone_number": "909-593-3388",
"fax_number": "909-596-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W LA VERNE AVE",
"address_2": "#D",
"city": "POMONA",
"state": "CA",
"postal_code": "916762332",
"telephone_number": "909-593-3388",
"fax_number": "909-596-0518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAO CONG TRAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "BAO",
"authorized_official_middle_name": "CONG",
"authorized_official_title_or_position": "PRESIDENT OF THE CORPORATION",
"authorized_official_telephone_number": "909-593-3388",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A41661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0087500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.