NPIMap

Individual provider Active NPI

Diana Tran-Kim, D.O.

  • Obstetrics & Gynecology Physician
  • Fountain Vly, CA
National Provider Identifier
1366867327
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
275009 Issued in NY
Practice address
11160 Warner Ave Ste 301
Fountain Vly, CA 92708-4055
Phone
(714) 210-5665
Fax
(714) 210-2031
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 275009 NY Primary

Addresses

Primary practice location

11160 Warner Ave Ste 301
Fountain Vly, CA 92708-4055

Mailing address

11160 Warner Ave Ste 301
Fountain Vly, CA 92708-4055
Phone (714) 210-5665

Other practice location 1

18210 Yorba Linda Blvd
404
Yorba Linda, CA 92886-4059
Phone (714) 577-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021000643 CA Practitioner - Obstetrics/Gynecology 3870802317 Reassigns benefits to 1 organization
Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11160 Warner Ave
Suite 301
Fountain Valley, CA 92708-4055
Phone (714) 210-5665

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275009NYMDObstetrics & Gynecology Physician
14124CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Diana Tran-Kim Corp. Obstetrics & Gynecology CurrentSince Jul 14, 2021 Accepting new patients
Chiron Psychological, Inc PastSince Oct 1, 2021 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

11160 Warner Ave
Ste 301
Fountain Vly, CA 92708
Phone (714) 210-5665

12791 Newport Ave
Ste 106
Tustin, CA 92780
Phone (714) 406-4461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 3

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1366867327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 301",
            "city": "FOUNTAIN VLY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-210-5665",
            "fax_number": "714-210-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 301",
            "city": "FOUNTAIN VLY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-210-5665",
            "fax_number": "714-210-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18210 Yorba Linda Blvd",
            "address_2": "404",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928864059",
            "country_code": "US",
            "telephone_number": "714-577-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN-KIM",
        "first_name": "DIANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2020-12-21",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "275009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Vly, CA

Sources for this page

Verify at the official NPI Registry.