Individual provider Active NPI

Dai A Tran, M.D., M.P.H.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1467552885
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C170510 Issued in CA
Practice address
9397 Homestead Dr
Rancho Cucamonga, CA 91730-7906
Phone
(850) 867-1147
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101224073 VA
Aerospace Medicine Physician 2083A0100X C170510 CA
Family Medicine Physician 207Q00000X C170510 CA Primary

Addresses

Primary practice location

9397 Homestead Dr
Rancho Cucamonga, CA 91730-7906

Mailing address

9397 Homestead Dr
Rancho Cucamonga, CA 91730-7906
Phone (850) 867-1147

Other practice location 1

2510 5th St Bldg 840
Wright Patterson AFB, OH 45433-7951
Phone (937) 938-2735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101224073VAMDFamily Medicine Physician
C170510CAMDAerospace Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1467552885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 HOMESTEAD DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307906",
            "telephone_number": "850-867-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 HOMESTEAD DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307906",
            "telephone_number": "850-867-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 5th St Bldg 840",
            "address_purpose": "LOCATION",
            "city": "Wright Patterson AFB",
            "state": "OH",
            "postal_code": "454337951",
            "country_code": "US",
            "telephone_number": "937-938-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101224073",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "C170510",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C170510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.