Individual provider Active NPI

Samantha Tran, MD

  • Dermatology Physician
  • Irvine, CA
National Provider Identifier
1306469838
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A193541 Issued in CA
Practice address
17305 Von Karman Ave Ste 107
Irvine, CA 92614-0903
Phone
(949) 679-9994
Fax
(949) 679-9933
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A193541 CA Primary

Addresses

Primary practice location

17305 Von Karman Ave Ste 107
Irvine, CA 92614-0903

Mailing address

4000 Hollywood Blvd Ste 215S
Hollywood, FL 33021-1227
Phone (202) 963-6487

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
I20240720000375 CA Practitioner - Dermatology 0042634529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Western Michigan Un Homer Stryker School of Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tien Q Nguyen IncGroup PAC ID 0547319402, 12 clinicians
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

17305 Von Karman Ave
Suite 107
Irvine, CA 92614-0903
Phone (949) 679-9997

24541 Pacific Park Dr
Suite 103
Aliso Viejo, CA 92656-3050
Phone (949) 831-3057

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions182
Removal or shaving of skin growth1-10
Skin biopsy81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193541CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology CurrentSince Sep 7, 2024 Accepting new patients
First Oc Dermatology PC Dermatology CurrentSince Dec 8, 2025 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

17271 Brookhurst St
Ste Na
Fountain Vly, CA 92708

17271 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 531-2966

17305 Von Karman Ave
Ste 107
Irvine, CA 92614
Phone (949) 478-2230

24541 Pacific Park Dr
Ste 103
Laguna Hills, CA 92656
Phone (949) 831-3057

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1306469838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "202-963-6487",
            "fax_number": "206-309-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17305 VON KARMAN AVE STE 107",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140903",
            "telephone_number": "949-679-9994",
            "fax_number": "949-679-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A193541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.