Individual provider Active NPI

Hong T Tran, NP

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1447723879
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010405 Issued in CA
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

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218000209 CA Practitioner - Nurse Practitioner 9931447992 Reassigns benefits to 4 organizations

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
Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

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

LicenseStateTypeSpecialty
NP95010405CAMDAcute Care Nurse Practitioner
95010405CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Multi-Specialty CurrentSince Nov 25, 2019 Accepting new patients
UC Regents Multi-Specialty CurrentSince Jan 15, 2019 Accepting new patients
UC Regents CurrentSince Jan 15, 2019 Accepting new patients
Progeny TMS Corporation Multi-Specialty CurrentSince Jun 12, 2024 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.

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

Verify at the official NPI Registry.