NPIMap

Individual provider Active NPI

Michael Phat Hanh Tran, M.D.

  • Pediatric Cardiology Physician
  • Palo Alto, CA
National Provider Identifier
1376562173
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A95299 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 497-8000
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A95299 CA
Pediatric Cardiology Physician 2080P0202X A95299 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other practice location 1

1688 Willow St Ste C
San Jose, CA 95125-5109
Phone (408) 448-2817

Other identifiers 1

IdentifierTypeStateIssuer
A95299OtherCAMEDICAL LICENSE

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
I20100831000661 CA Practitioner - Pediatric Medicine 8224162573 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 2, 2016 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 2, 2016 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Feb 27, 2013 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
El Camino Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
County of Santa Clara Past Accepting new patients
John P Owens MD Inc Pediatric Cardiology PastSince Jul 11, 2010 Accepting new patients
John P. Owens, M.D., Inc Pediatric Cardiology Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

824 Bay Ave
Ste 70
Capitola, CA 95010
Phone (831) 464-6200

14651 S Bascom Ave
Ste 112
Los Gatos, CA 95032
Phone (408) 356-9300

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1688 Willow St
Ste C
San Jose, CA 95125
Phone (408) 356-1364

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mtran126057@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1376562173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1688 Willow St Ste C",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255109",
            "country_code": "US",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAEL",
        "middle_name": "PHAT HANH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A95299",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A95299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A95299",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.