Union Pacific Ipa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

UNION PACIFIC IPA

Practice address

6760 Top Gun St
Suite 100
San Diego, CA 92121-4152

Phone

(858) 824-7000

Fax

(858) 824-7010

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ton Duy Tran, M.D.

Title

President

Phone

(858) 824-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1265551659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 TOP GUN ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214152",
            "telephone_number": "858-824-7000",
            "fax_number": "858-824-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 TOP GUN ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214152",
            "telephone_number": "858-824-7000",
            "fax_number": "858-824-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PACIFIC IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TON",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-824-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.