Thomas Thanh Tran, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A85242 Issued in CA

Legal business name

THOMAS THANH TRAN, M.D., INC.

Practice address

5900 Brockton Ave
Riverside, CA 92506-1862

Phone

(951) 275-8400

Fax

(951) 272-9924

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Thomas Thanh Tran, M.D.NPI 1710972997

Title

President/Owner

Phone

(949) 836-6912

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Thanh Tran, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1710972997
  NPD (past) Authorized official

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1184925240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SAGELEAF CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822312",
            "telephone_number": "949-836-6912",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061862",
            "telephone_number": "951-275-8400",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS THANH TRAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-836-6912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710972997",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "A85242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly C. Thio, MD
• Naomi Thiru
• Ravi Thiruvengadam, MD
• Desiree J Thiry
• Thomas a. O'Callaghan
• Beverly Denise Thomas-Marsh, M.S., LMFT
• Alia Thomas
• Amanda Mae Thomas
• Amaree Nevaeh Thomas
• Amoreena Lee Thomas, LCSW

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.