Khang Van Tran

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A33941 Issued in CA

Practice address

4616 El Cajon Blvd
Suite 9
San Diego, CA 92115-4426

Phone

(619) 280-4616

Fax

(619) 280-4617

NPI assigned

May 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Khang Van Tran Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Khang Van Tran M.D., Inc.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1841306016
  NPD Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1194991430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD",
            "address_2": "SUITE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-280-4616",
            "fax_number": "619-280-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD",
            "address_2": "SUITE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-280-4616",
            "fax_number": "619-280-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHANG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A33941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A33941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHANG",
            "last_name": "TRAN",
            "middle_name": "VAN",
            "credential": "MD INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathy Tran
• Kathy Thanh Tran
• Kelly Tran
• Kenny H Tran
• Kevin M Tran, DMD
• Khanh Phuong Tran, M.D.
• Khiem Ngoc Tran
• Kim Tran
• Kim Dinh Tran
• Kristtyan Tran, OTD

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.