Individual provider Active NPI

Robert H Tran, MD

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
National Provider Identifier
1265515704
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A73084 Issued in CA
Practice address
1760 Termino Ave
Suite 301
Long Beach, CA 90804-2105
Phone
(562) 933-6900
Fax
(562) 933-8557
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X A73084 CA Primary

Addresses

Primary practice location

1760 Termino Ave
Suite 301
Long Beach, CA 90804-2105

Mailing address

1760 Termino Ave
Suite 301
Long Beach, CA 90804-2105
Phone (562) 933-6900

Other identifiers 1

IdentifierTypeStateIssuer
00A730840MedicaidCA

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
I20050701001017 CA Practitioner - GastroenterologyPractitioner - Pediatric Medicine 7911943683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tufts University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-8820

2865 Atlantic Ave
Suite 104
Long Beach, CA 90806-7406
Phone (562) 933-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73084CAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Associates of Southern California Pediatric Gastroenterology CurrentSince Jan 5, 2009 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1901 Newport Blvd
Ste 235
Costa Mesa, CA 92627
Phone (562) 490-3580

9940 Talbert Ave
Ste 200
Fountain Valley, CA 92708
Phone (562) 684-8096

2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

3640 Lomita Blvd
Ste 102
Torrance, CA 90505
Phone (310) 378-8232

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rtranmd16969@direct.memorialcare.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1265515704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-933-6900",
            "fax_number": "562-933-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-933-6900",
            "fax_number": "562-933-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A73084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.