Organization Active NPI

Khai Quan Tran, M.D., Inc

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1225209810
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A100786 Issued in CA
Legal business name
KHAI QUAN TRAN, M.D., INC
Practice address
15068 Moran St
Westminster, CA 92683-6505
Phone
(714) 897-3690
Fax
(714) 897-8108
NPI assigned
Mar 21, 2008
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Khai Q Tran, M.D.NPI 1366633067
Title
President
Phone
(714) 963-9304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A100786 CA Primary

Addresses

Primary practice location

15068 Moran St
Westminster, CA 92683-6505

Mailing address

15068 Moran St
Westminster, CA 92683-6505
Phone (714) 897-3690

Other identifiers 1

IdentifierTypeStateIssuer
A100786OtherCAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000663 CA Part B Supplier - Clinic/Group Practice 0345314720 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2033789Khai Quan Tran, M.D.,Inc.15068 Moran Street, Westminster, CA 92683Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

15068 Moran St
Westminster, CA 92683
Phone (714) 897-3690

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1225209810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15068 MORAN ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836505",
            "telephone_number": "714-897-3690",
            "fax_number": "714-897-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15068 MORAN ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836505",
            "telephone_number": "714-897-3690",
            "fax_number": "714-897-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAI QUAN TRAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KHAI",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-963-9304",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A100786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.