Individual provider Active NPI

Tuan Anh Tran, D.O., D.C.

  • General Practice Physician
  • Milpitas, CA
National Provider Identifier
1366467102
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A11925 Issued in CA
Practice address
629 S. Main St.
Milpitas, CA 95035-5306
Phone
(408) 263-6207
Fax
(408) 263-6245
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25815 CA
General Practice Physician 208D00000X 20A11925 CA Primary

Addresses

Primary practice location

629 S. Main St.
Milpitas, CA 95035-5306

Mailing address

989 Story Rd
Unit 8072
San Jose, CA 95122-4603
Phone (408) 263-6207

Other identifiers 2

IdentifierTypeStateIssuer
DC0258150MedicaidCA
11058739OtherCACAQH PROVIDER ID

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
I20140313000302 CA Practitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 5294965299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

989 Story Rd
Unit 8072
San Jose, CA 95122-4620
Phone (408) 642-1243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DC25815CAMDChiropractor
25815CAMDGeneral Practice Dentistry
20A11925CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Anh Tran, PC Chiropractor CurrentSince Jan 31, 2014 Accepting new patients

Locations

629 S Main St
Milpitas, CA 95035
Phone (408) 263-6207

989 Story Rd
Unit 8072
San Jose, CA 95122
Phone (408) 263-6207

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1366467102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 STORY RD",
            "address_2": "UNIT 8072",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224603",
            "telephone_number": "408-263-6207",
            "fax_number": "408-263-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S. MAIN ST.",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355306",
            "telephone_number": "408-263-6207",
            "fax_number": "408-263-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TUAN",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "D.O., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25815",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A11925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0258150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11058739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.