Active NPI
Thang Duc Tran, MD
- Internal Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- CLG81642
- Practice address
- 969 Story Rd Unit 6060a
San Jose, CA 95122-4601 - Phone
- (408) 223-8818
- Fax
- (408) 223-8884
- NPI assigned
- Nov 8, 2005
- Last updated
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CLG81642 | CA | Primary |
Addresses
Primary practice location
969 Story Rd Unit 6060a
San Jose, CA 95122-4601
Mailing address
1569 Lexann Ave
Suite 114
San Jose, CA 95121-1794
Phone (408) 223-8818
Other practice location 1
1569 Lexann Ave
Suite 114
San Jose, CA 95121-1794
Phone (408) 223-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G816420 | Medicaid | CA |
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
- Family Practice
- Education
- University of Virginia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1569 Lexann Ave
San Jose, CA 95121-1794
Phone (408) 223-8818
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81642 | CA | MD | Pharmacist |
| CLG81642 | CA | MD | Internal Medicine Physician |
| G81642 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Past | Accepting new patients | |
| Thang Duc Tran, MD | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFGHBA/Endpoint/EFGHBA
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Stanford, CA
- NPI 1598334955
-
- Family Nurse Practitioner
- Cupertino, CA
- NPI 1992144992
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Primary Care Clinic/Center
- San Jose, CA
- NPI 1235575333
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Jose, CA
- NPI 1992048508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1275514069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 LEXANN AVE",
"address_2": "SUITE 114",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211794",
"telephone_number": "408-223-8818",
"fax_number": "408-223-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 STORY RD UNIT 6060A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951224601",
"telephone_number": "408-223-8818",
"fax_number": "408-223-8884"
}
],
"practiceLocations": [
{
"address_1": "1569 Lexann Ave",
"address_2": "Suite 114",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951211794",
"country_code": "US",
"telephone_number": "408-223-8818",
"fax_number": "408-223-8884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "THANG",
"middle_name": "DUC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "CLG81642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G816420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.