Individual provider Active NPI

Jimmy Tran, DPT

  • Orthopedic Physical Therapist
  • Hayward, CA
National Provider Identifier
1316778053
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
306554 Issued in CA
Practice address
1260 B St
Hayward, CA 94541-2978
Phone
(510) 247-9971
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 306554 CA Primary

Addresses

Primary practice location

1260 B St
Hayward, CA 94541-2978

Mailing address

612 Mariposa Ave Apt 216
Oakland, CA 94610-1305
Phone (510) 517-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002312 CA Practitioner - Physical Therapist in Private Practice 3577094531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rynz CorpGroup PAC ID 3375583495, 15 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

1260 B St
Suite 250
Hayward, CA 94541-2971
Phone (510) 247-9971

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rynz Corp. Orthopedic CurrentSince Aug 13, 2024 Accepting new patients
California Luna Care Physical Therapy PC Orthopedic CurrentSince Jan 16, 2026 Accepting new patients
Sutter East Bay Medical Foundation PastSince Aug 18, 2024 Accepting new patients
Sutter West Bay Medical Foundation PastSince Aug 18, 2024 Accepting new patients

Locations

6937 Village Pkwy
Unit 2160
Dublin, CA 94568

1260 B St
Ste 250
Hayward, CA 94541
Phone (510) 247-9971

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 4

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1316778053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MARIPOSA AVE APT 216",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101305",
            "telephone_number": "510-517-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412978",
            "telephone_number": "510-247-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JIMMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "306554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.