Individual provider Active NPI

Calvin Khoa Tran, OTR/L

  • Occupational Therapist
  • San Francisco, CA
National Provider Identifier
1205490158
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18226 Issued in CA
Practice address
2043 19TH Ave
San Francisco, CA 94116-1253
Phone
(415) 661-8787
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18226 CA Primary

Addresses

Primary practice location

2043 19TH Ave
San Francisco, CA 94116-1253

Mailing address

5191 E Cavendish LN
Anaheim, CA 92807-4643
Phone (714) 875-5659

Other identifiers 1

IdentifierTypeStateIssuer
0011485974OtherCAKAISER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611000351 CA Practitioner - Occupational Therapist in Private Practice 6305388935 Reassigns benefits to 1 organization
Practice locations: Westminster, CA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc Rehab a Medical Group, IncGroup PAC ID 4284029992, 2 clinicians

Practice addresses (Care Compare)

15201 Beach Blvd
Suite a
Westminster, CA 92683-6243
Phone (714) 373-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18226CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Rehab a Medical Group Inc. CurrentSince Apr 6, 2024 Accepting new patients

Locations

15201 Beach Blvd
Ste A
Westminster, CA 92683
Phone (714) 373-4555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1205490158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 E CAVENDISH LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074643",
            "telephone_number": "714-875-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 19TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161253",
            "telephone_number": "415-661-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CALVIN",
        "middle_name": "KHOA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "0011485974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.