Individual provider Active NPI

Kien Phuc Tran, MD

  • Internal Medicine Physician
  • Tustin, CA
National Provider Identifier
1396831889
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88769 Issued in CA
Practice address
15491 Pasadena Ave Apt 87
Tustin, CA 92780-4247
Phone
(832) 287-6252
NPI assigned
Oct 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A88769 CA
Internal Medicine Physician 207R00000X A88769 CA Primary

Addresses

Primary practice location

15491 Pasadena Ave Apt 87
Tustin, CA 92780-4247

Mailing address

15491 Pasadena Ave Apt 87
Tustin, CA 92780-4247
Phone (832) 287-6252

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
I20061204000120 CA Practitioner - Internal Medicine 5597669986 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Careconnectmd Ca PC CurrentSince Mar 1, 2024 Accepting new patients
North Houston Emergency Physicians Association Past Accepting new patients
Astrana Care Hospitalists, a Medical Corporation PastSince Jan 19, 2020 Accepting new patients
Hagop Blikian Chiropractic Inc Past Accepting new patients
Rancho Faculty Medical Associates, Inc. General Acute Care Hospital Past Accepting new patients
Blikian Chiropractic and Acupuncture Inc PastSince Sep 21, 2020 Accepting new patients

Locations

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kien.tran.1@29786.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396831889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15491 PASADENA AVE APT 87",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804247",
            "telephone_number": "832-287-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15491 PASADENA AVE APT 87",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804247",
            "telephone_number": "832-287-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIEN",
        "middle_name": "PHUC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A88769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.