Individual provider Active NPI

Phillip Tran, M.D.

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1316951577
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A55091 Issued in CA
Practice address
1867 E Fir Ave
Suite 104
Fresno, CA 93720-3808
Phone
(559) 325-5800
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A55091 CA Primary

Addresses

Primary practice location

1867 E Fir Ave
Suite 104
Fresno, CA 93720-3808

Mailing address

1044 E Herndon Ave
Suite 108
Fresno, CA 93720-3168
Phone (559) 447-4025

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
I20060126000838 CA Practitioner - Diagnostic Radiology 7719908581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

3800 Dale Rd
Modesto, CA 95356-8627
Phone (209) 735-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55091CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging Institute Medical Group Inc CurrentSince Jan 1, 2006 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 8, 2024 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince Jul 8, 2024 Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology PastSince Nov 16, 2021 Accepting new patients
Advanced Medical Imaging Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

3800 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1316951577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 E HERNDON AVE",
            "address_2": "SUITE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203168",
            "telephone_number": "559-447-4025",
            "fax_number": "559-256-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203808",
            "telephone_number": "559-325-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A55091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.