Individual provider Active NPI

Thang Duc Tran, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1275514069
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CLG81642 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G816420MedicaidCA

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
I20100514000237 CA Practitioner - Family PracticePractitioner - Internal Medicine 4587792304 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
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

LicenseStateTypeSpecialty
81642CAMDPharmacist
CLG81642CAMDInternal Medicine Physician
G81642CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
Thang Duc Tran, MD PastSince Jun 21, 1995 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: 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.

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.

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": "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

Verify at the official NPI Registry.