Active NPI
Hong T Tran, NP
- Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010405
- Practice address
- 4500 Brockton Ave Ste 319
Riverside, CA 92501-4027 - Phone
- (951) 384-7422
- Fax
- (951) 367-0102
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP95010405 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95010405 | CA | |
| Nurse Practitioner | 363L00000X | 95010405 | CA | Primary |
Addresses
Primary practice location
4500 Brockton Ave Ste 319
Riverside, CA 92501-4027
Mailing address
621 Calle Juarez
San Clemente, CA 92673-3021
Phone (949) 413-4460
Other practice location 1
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 880-7812
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17782 Cowan
Suite a
Irvine, CA 92614-6041
Phone (949) 722-7118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95010405 | CA | MD | Acute Care Nurse Practitioner |
| 95010405 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Multi-Specialty | Current | Accepting new patients |
| UC Regents | Multi-Specialty | Current | Accepting new patients |
| UC Regents | Current | Accepting new patients | |
| Progeny TMS Corporation | Multi-Specialty | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| Temple University Hospital, Inc | Past | Accepting new patients |
Locations
17782 Cowan
Ste A
Irvine, CA 92614
17782 Cowan
Ste D
Irvine, CA 92614
Phone (949) 748-1531
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
14501 Magnolia St
Ste 104
Westminster, CA 92683
Phone (714) 891-0080
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 and National Provider Directory roles.
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- Psychiatry Physician
- Irvine, CA
- NPI 1548735202
-
- Diagnostic Radiology Physician
- Fountain Valley, CA
- NPI 1902177785
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1962579029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1447723879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CALLE JUAREZ",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733021",
"telephone_number": "949-413-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BROCKTON AVE STE 319",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014027",
"telephone_number": "951-384-7422",
"fax_number": "951-367-0102"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-880-7812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "HONG",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP95010405",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95010405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.