Individual provider Active NPI

Quoc Tien Tran, MD

  • Family Medicine Physician
  • Santa Clarita, CA
National Provider Identifier
1295895498
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76581 Issued in CA
Practice address
23823 Valencia Blvd
Ste 220
Santa Clarita, CA 91355-9512
Phone
(661) 253-2211
Fax
(866) 268-6601
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76581 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
Ste 220
Santa Clarita, CA 91355-9512

Mailing address

1064 Village CT
Oceanside, CA 92057-1927
Phone (760) 435-0611

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
I20170410001372 CA Practitioner - Family Practice 8325035397 Practice locations: Santa Clarita, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76581CAMDClinical Social Worker
A76581CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekro, a Medical Corporation, Inc Past Accepting new patients
Tran Institute for Plastic Surgery Inc. PastSince Jan 1, 2024 Accepting new patients
Sum Tran MD Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: quoc.tran.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1295895498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 VILLAGE CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920571927",
            "telephone_number": "760-435-0611",
            "fax_number": "866-268-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "STE 220",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-253-2211",
            "fax_number": "866-268-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUOC",
        "middle_name": "TIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.