Individual provider Active NPI

Anthony Duy-Anh Tran, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1295092526
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A142625 Issued in CA
Practice address
18111 Brookhurst St Ste 3200
Fountain Valley, CA 92708
Phone
(714) 369-1100
Fax
(714) 464-4645
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A142625 CA Primary

Addresses

Primary practice location

18111 Brookhurst St Ste 3200
Fountain Valley, CA 92708

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000

Other practice location 1

Anesthesiology Residency
University of WA, 1959 NE Pacific St, Box 356540
Seattle, WA 98195-6540
Phone (650) 556-4585

Other practice location 2

Anesthesiology Residency
University of WA, 1959 NE Pacific St, Box 356540
Seattle, WA 98195-6540
Phone (650) 556-4585

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
I20160815001398 CA Practitioner - Anesthesiology 8022302017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142625CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients

Locations

2097 Compton Ave
Ste 101
Corona, CA 92881
Phone (949) 825-5189

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1295092526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST STE 3200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-369-1100",
            "fax_number": "714-464-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Anesthesiology Residency",
            "address_2": "University of WA, 1959 NE Pacific St, Box 356540",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956540",
            "country_code": "US",
            "telephone_number": "650-556-4585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Anesthesiology Residency",
            "address_2": "University of WA, 1959 NE Pacific St, Box 356540",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956540",
            "country_code": "US",
            "telephone_number": "650-556-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANTHONY",
        "middle_name": "DUY-ANH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A142625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.