Organization Active NPI

Douglas a. Tran, MD Inc.

  • Otolaryngology Physician
  • Fountain Valley, CA
National Provider Identifier
1427018993
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G42263 Issued in CA
Legal business name
DOUGLAS A. TRAN, MD INC.
Practice address
10760 Warner Ave
201
Fountain Valley, CA 92708-3845
Phone
(714) 593-5356
Fax
(714) 593-5366
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Douglas A. Tran, MDNPI 1922003623
Title
Provider
Phone
(714) 593-5356

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G42263 CA Primary

Addresses

Primary practice location

10760 Warner Ave
201
Fountain Valley, CA 92708-3845

Mailing address

10760 Warner Ave
201
Fountain Valley, CA 92708-3845
Phone (714) 593-5356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000621 CA Part B Supplier - Clinic/Group Practice 7012948938 Receives reassigned benefits from 2 practitioners
Practice locations: Fountain Valley, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1427018993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVE",
            "address_2": "201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083845",
            "telephone_number": "714-593-5356",
            "fax_number": "714-593-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVE",
            "address_2": "201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083845",
            "telephone_number": "714-593-5356",
            "fax_number": "714-593-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. TRAN, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-593-5356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G42263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.