Organization Active NPI

Tony Tran D O Inc

  • Psychiatry Physician
  • Garden Grove, CA
National Provider Identifier
1467093849
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TONY TRAN D O INC
Practice address
13075 Blackbird St
Garden Grove, CA 92843
Phone
(714) 747-1818
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Tony Tran, DONPI 1053750265
Title
DO/President
Phone
(714) 747-1818

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13075 Blackbird St
Garden Grove, CA 92843

Mailing address

13121 Laburnum Dr
Tustin, CA 92780-3824
Phone (714) 747-1818

Other practice location 1

13075 Blackbird St
Garden Grove, CA 92843
Phone (714) 747-1818

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherCA15767

Other names 1

  • PEACEFUL MIND Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204001723 CA Part B Supplier - Clinic/Group Practice 4789017831 Receives reassigned benefits from 7 practitioners
Practice locations: Garden Grove, CA; Westminster, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1467093849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 LABURNUM DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803824",
            "telephone_number": "714-747-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 BLACKBIRD ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-747-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13075 Blackbird St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "92843",
            "country_code": "US",
            "telephone_number": "714-747-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TONY TRAN D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DO/PRESIDENT",
        "authorized_official_telephone_number": "714-747-1818",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "15767",
            "identifier": "LICENSE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACEFUL MIND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.