Organization Active NPI

Ryan B Tran MD Inc

  • Internal Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1407114333
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RYAN B TRAN MD INC
Practice address
27700 Medical Center Rd
Mission Medical Center
Mission Viejo, CA 92691-6426
Phone
(949) 529-0939
Fax
(425) 419-1578
NPI assigned
Apr 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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

Authorized official

Name
Ryan B Tran, MDNPI 1801998174
Title
President/Owner
Phone
(949) 529-0939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

27700 Medical Center Rd
Mission Medical Center
Mission Viejo, CA 92691-6426

Mailing address

15333 Culver Dr
Suite340 #160
Irvine, CA 92604-3078
Phone (949) 529-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000709 CA Part B Supplier - Clinic/Group Practice 5597928853 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA; Capistrano Beach, CA; Laguna Hills, CA; Laguna Woods, CA; Lake Forest, CA; Mission Viejo, CA; Murrieta, CA; San Juan Capistrano, CA…

National Provider Directory

National Provider Directory

Locations

15333 Culver Dr
Ste 340164
Irvine, CA 92604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335571200000",
    "number": "1407114333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 CULVER DR",
            "address_2": "SUITE340 #160",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043078",
            "telephone_number": "949-529-0939",
            "fax_number": "425-419-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "address_2": "MISSION MEDICAL CENTER",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-529-0939",
            "fax_number": "425-419-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN B TRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-04-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-529-0939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.