Organization Active NPI

Lawrence Delano Tran,M.D., a Medical Corporation

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1295845360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34193 Issued in CA
Legal business name
LAWRENCE DELANO TRAN,M.D., A MEDICAL CORPORATION
Practice address
2211 W Magnolia Blvd
Suite 230
Burbank, CA 91506-1753
Phone
(818) 391-1028
Fax
(818) 391-1037
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Delano Tran, MDNPI 1255335733
Title
President
Phone
(818) 391-1028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34193 CA Primary

Addresses

Primary practice location

2211 W Magnolia Blvd
Suite 230
Burbank, CA 91506-1753

Mailing address

2211 W Magnolia Blvd
Suite 230
Burbank, CA 91506-1753
Phone (818) 391-1028

Other identifiers 1

IdentifierTypeStateIssuer
00A341930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000358 CA Part B Supplier - Clinic/Group Practice 3274677398 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295845360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "SUITE 230",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-391-1028",
            "fax_number": "818-391-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "SUITE 230",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-391-1028",
            "fax_number": "818-391-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE DELANO TRAN,M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DELANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-391-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.