Individual provider Active NPI

Truc Chinh Tran, MD

  • Pediatrics Physician
  • Altamonte Springs, FL
National Provider Identifier
1265421770
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME38008 Issued in FL
Practice address
1175 Spring Centre South Blvd Ste 1020
Altamonte Springs, FL 32714-5000
Phone
(321) 221-8522
Fax
(407) 297-9801
NPI assigned
Oct 18, 2005
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME38008 FL Primary

Addresses

Primary practice location

1175 Spring Centre South Blvd Ste 1020
Altamonte Springs, FL 32714-5000

Mailing address

1175 Spring Centre South Blvd Ste 1020
Altamonte Springs, FL 32714-5000
Phone (321) 221-8522

Other practice location 1

1117 N Pine Hills Rd
Orlando, FL 32808-7125
Phone (407) 297-0805

Other identifiers 1

IdentifierTypeStateIssuer
067886400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME38008FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truc C. Tran, MD PA Pediatrics CurrentSince Mar 19, 2011 Accepting new patients

Locations

1175 Spring Centre South Blvd
Ste 1020
Altamonte Springs, FL 32714
Phone (321) 221-8522

1117 N Pine Hills Rd
Orlando, FL 32808
Phone (407) 297-0805

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIIADA/Endpoint/FIIADA

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1265421770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SPRING CENTRE SOUTH BLVD STE 1020",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145000",
            "telephone_number": "321-221-8522",
            "fax_number": "407-297-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 SPRING CENTRE SOUTH BLVD STE 1020",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145000",
            "telephone_number": "321-221-8522",
            "fax_number": "407-297-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 N Pine Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087125",
            "country_code": "US",
            "telephone_number": "407-297-0805",
            "fax_number": "407-297-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRUC",
        "middle_name": "CHINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME38008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067886400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.