Individual provider Active NPI

Donna Tran, D.O

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1457614919
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A13020 Issued in CA
Practice address
495 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4204
Phone
(949) 646-7546
NPI assigned
Jun 20, 2012
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A13020 CA Primary

Addresses

Primary practice location

495 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4204

Mailing address

16960 Bastanchury Rd Ste I
Yorba Linda, CA 92886-1711
Phone (714) 524-9700

Other practice location 1

16960 Bastanchury Rd Ste I
Yorba Linda, CA 92886-1711
Phone (714) 524-9700

Other identifiers 1

IdentifierTypeStateIssuer
9336432822OtherCAPECOS

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
I20160720002802 CA Practitioner - Dermatology 9335432822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Texas HSC, College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hung V. Ong, MD., Inc.Group PAC ID 6406823830, 3 clinicians

Practice addresses (Care Compare)

495 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4204
Phone (949) 646-7546

Merit-based Incentive Payment System (MIPS)

Final score
94.6 of 100Reported as individual
Quality
100
Promoting interoperability
82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions748
Removal of skin cancer97
Removal or shaving of skin growth1-10
Skin biopsy282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13020CAMDAcupuncturist
20A13020CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm Ke, M.D., a Professional Corporation Dermatology CurrentSince Apr 9, 2018 Accepting new patients
Mays MD PA Dermatology CurrentSince Mar 20, 2025 Accepting new patients
Hung V. Ong, MD., Inc. Dermatology CurrentSince Aug 24, 2016 Accepting new patients
Dr. a.R. Bhupathy, Inc Dermatology Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

495 Old Newport Blvd
Ste 200
Newport Beach, CA 92663
Phone (949) 646-7546

23456 Hawthorne Blvd
Ste 100
Torrance, CA 90505
Phone (310) 540-5272

16960 Bastanchury Rd
Ste I
Yorba Linda, CA 92886
Phone (714) 524-9700

1401 Binz St
Ste 200
Houston, TX 77004
Phone (281) 333-3376

10907 Memorial Hermann Dr
Ste 170
Pearland, TX 77584
Phone (281) 864-3376

451 N Texas Ave
Webster, TX 77598
Phone (281) 333-2288

Organizations & group practices 6

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1457614919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16960 BASTANCHURY RD STE I",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861711",
            "telephone_number": "714-524-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 OLD NEWPORT BLVD STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634204",
            "telephone_number": "949-646-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16960 Bastanchury Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928861711",
            "country_code": "US",
            "telephone_number": "714-524-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DONNA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A13020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS",
            "identifier": "9336432822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.