Active NPI
Phuonganh Quoc Tran, OD
- Optometrist
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12122T
- Practice address
- 24300 Laguna Hills Mall
Laguna Hills, CA 92653-7601 - Phone
- (949) 380-0060
- Fax
- (949) 203-6366
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12122T | CA | Primary |
Addresses
Primary practice location
24300 Laguna Hills Mall
Laguna Hills, CA 92653-7601
Mailing address
22 Windchime
Irvine, CA 92603-0635
Phone (714) 401-2808
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2808
Phone (949) 489-2218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12122 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 12122T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramin Tayani MD Inc | Current | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Vision Center LP | Past | Accepting new patients |
Locations
25200 La Paz Rd
Ste 100
Laguna Hills, CA 92653
25200 La Paz Rd
Laguna Hills, CA 92653
653 Camino de los Mares
Ste 107
San Clemente, CA 92673
Phone (949) 489-2210
653 Camino de los Mares
Ste 103
San Clemente, CA 92673
Phone (949) 485-1333
3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704
Phone (714) 979-2021
Interoperability endpoints
- phuonganh.tranod.p1@direct.tayani.nextgenshare.com
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- San Clemente, CA
- NPI 1841465986
-
- Eyewear Supplier
- Laguna Hills, CA
- NPI 1215085824
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Primary Care Clinic/Center
- Santa Ana, CA
- NPI 1942503933
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1366426702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WINDCHIME",
"city": "IRVINE",
"state": "CA",
"postal_code": "926030635",
"telephone_number": "714-401-2808",
"fax_number": "949-203-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 LAGUNA HILLS MALL",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537601",
"telephone_number": "949-380-0060",
"fax_number": "949-203-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONGANH",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12122T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.