Active NPI
Phi Le Tran, D.O.
- Hospitalist Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 20A16597
- Practice address
- 9850 Genesee Ave Ste 900
La Jolla, CA 92037 - Phone
- (858) 626-7780
- Fax
- (858) 626-4604
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A16597 | CA | |
| Internal Medicine Physician | 207R00000X | 5101016853 | MI | |
| Internal Medicine Physician | 207R00000X | 48296 | CT | |
| Hospitalist Physician | 208M00000X | 20A16597 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave Ste 900
La Jolla, CA 92037
Mailing address
9850 Genesee Ave Ste 900
La Jolla, CA 92037-1220
Phone (858) 626-7780
Other practice location 1
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 610-7245
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16597 | CA | MD | Professional Counselor |
| 20A16597 | CA | MD | Internal Medicine Physician |
| 48296 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ximed Hospitalists, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
9850 Genesee Ave
Ste 900
La Jolla, CA 92037
Phone (858) 452-1279
Interoperability endpoints
- ptran178075@scrippshlth.medalliesdirect.net
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.
-
- Specialist
- La Jolla, CA
- NPI 1831124791
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1245456672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 900",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371220",
"telephone_number": "858-626-7780",
"fax_number": "858-626-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 900",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-626-7780",
"fax_number": "858-626-4604"
}
],
"practiceLocations": [
{
"address_1": "1 Hoag Dr",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926634162",
"country_code": "US",
"telephone_number": "949-610-7245",
"fax_number": "657-241-7720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "PHI",
"middle_name": "LE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A16597",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016853",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "48296",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A16597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.
- 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.