Individual provider Active NPI

Tony Hoang Tran, MD

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1194949818
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101828 Issued in CA
Practice address
10200 Trinity Pkwy
Suite 102
Stockton, CA 95219-7286
Phone
(209) 948-0808
Fax
(209) 957-1807
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A101828 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A101828 CA Primary

Addresses

Primary practice location

10200 Trinity Pkwy
Suite 102
Stockton, CA 95219-7286

Mailing address

10200 Trinity Pkwy
Suite 102
Stockton, CA 95219-7286
Phone (209) 948-0808

Other practice location 1

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230

Other practice location 2

2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Phone (714) 633-1011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttran1415977@oc.providencedirect.org

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
I20080723000837 CA Practitioner - Family PracticePractitioner - Emergency Medicine 9739252784 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bolsa Medical GroupGroup PAC ID 2769458264, 14 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

10362 Bolsa Ave
Suite 110
Westminster, CA 92683-6763
Phone (714) 531-2091

15855 Pomona Rincon Rd
BLDG 4
Chino Hills, CA 91709-3162
Phone (909) 929-2511

Hospital & facility affiliations

  • Advantage Health Systems Home health agency, Costa Mesa, CA, CCN 059511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Family Medicine Current Accepting new patients
Bolsa Medical Group Family Medicine CurrentSince Mar 28, 2016 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jan 15, 2015 Accepting new patients
Pih Health Physicians CurrentSince Apr 15, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 15, 2023 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jan 15, 2015 Accepting new patients
Aaron K Tran MD Inc CurrentSince Mar 1, 2021 Accepting new patients
Torrance Premier Health, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
Mark Twain Medical Center Past Accepting new patients

Locations

15855 Pomona Rincon Rd
Bldg 4
Chino Hills, CA 91709
Phone (714) 626-8630

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

2501 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 628-3300

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

23639 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 370-4660

3655 Lomita Blvd
Ste 312
Torrance, CA 90505
Phone (310) 294-9444

10362 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 531-2091

10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tony.tran@bolsamg.directbygreenway.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1194949818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "SUITE 102",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197286",
            "telephone_number": "209-948-0808",
            "fax_number": "209-957-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "SUITE 102",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197286",
            "telephone_number": "209-948-0808",
            "fax_number": "209-957-1807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 N Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352601",
            "country_code": "US",
            "telephone_number": "714-449-6230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 E Chapman Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-633-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TONY",
        "middle_name": "HOANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A101828",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttran1415977@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2251 N Harbor Blvd",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928352601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.