Individual provider Active NPI

Felicia Kim Tran, MD

  • Internal Medicine Physician
  • Buena Park, CA
National Provider Identifier
1225100753
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63728 Issued in CA
Practice address
6301 Beach Blvd Ste 101
Buena Park, CA 90621-4030
Phone
(714) 994-5290
Fax
(714) 994-8090
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63728 CA Primary

Addresses

Primary practice location

6301 Beach Blvd Ste 101
Buena Park, CA 90621-4030

Mailing address

6301 Beach Blvd Ste 101
Buena Park, CA 90621-4030
Phone (714) 994-5290

Other identifiers 1

IdentifierTypeStateIssuer
GR0099930MedicaidCA

Other names 1

  • Dr. Phuong Kimthi Tran Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20041112000731 CA Practitioner - Internal Medicine 6103880810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buena Park Medical GroupGroup PAC ID 9335191063, 2 clinicians

Practice addresses (Care Compare)

411 N Lakeview Ave
Anaheim, CA 92807-3028
Phone (714) 279-4000

6301 Beach Blvd
Suite 101
Buena Park, CA 90621-4030
Phone (714) 994-5290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63728CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Park Medical Group Internal Medicine CurrentSince Nov 19, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 15, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 15, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
University of California Irvine Past Accepting new patients
Francisco Badar MD Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Edward Medical Group, Inc Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

411 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

6301 Beach Blvd
Ste 101
Buena Park, CA 90621
Phone (714) 994-3643

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1225100753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214030",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214030",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "FELICIA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099930",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "TRAN",
            "middle_name": "KIMTHI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.