Individual provider Active NPI

Tony N. Tran, MD

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1477138501
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
212925 Issued in CA
Practice address
4490 Fanuel St
San Diego, CA 92109-8737
Phone
(949) 760-9222
NPI assigned
Mar 10, 2021
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 212925 CA Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

4490 Fanuel St
San Diego, CA 92109-8737

Mailing address

2115 Westhaven Dr
Gainesville, GA 30501-6181
Phone (770) 539-4706

Other practice location 1

USS Ashland LSD 48
Unit 100147
Fpo, AP 96660
Phone (770) 539-4706

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)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1477138501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WESTHAVEN DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016181",
            "telephone_number": "770-539-4706",
            "fax_number": "903-213-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 FANUEL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098737",
            "telephone_number": "949-760-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USS Ashland LSD 48",
            "address_2": "Unit 100147",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96660",
            "country_code": "US",
            "telephone_number": "770-539-4706",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TONY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "212925",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; 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.