Active NPI
Tammy Ngoc Tran, DDS
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1215068622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48560
- Practice address
- 990 Cherry Ave
Suite 104
Long Beach, CA 90813-5940 - Phone
- (562) 987-0626
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48560 | CA | Primary |
Addresses
Primary practice location
990 Cherry Ave
Suite 104
Long Beach, CA 90813-5940
Mailing address
1938 W Deerefield Rd
Santa Ana, CA 92704-7138
Phone (714) 241-7028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48560 | Medicaid | CA |
Other names 1
- Tu Ngoc Tran
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223002038 | CA | Order and Referring Only - Oral Surgery | 3971808387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48560 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tammy N. Tran, D.D.S., Inc. | General Practice | Past | Accepting new patients |
| Iraj Nouri DDS Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1881048023
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1457558397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215068622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 W DEEREFIELD RD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047138",
"telephone_number": "714-241-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 CHERRY AVE",
"address_2": "SUITE 104",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135940",
"telephone_number": "562-987-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TAMMY",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48560",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TU",
"last_name": "TRAN",
"middle_name": "NGOC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.