Individual provider Active NPI

Nguyenvy CHI Tran, D.O.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1508217159
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A17638 Issued in CA
Practice address
1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806
Phone
(714) 772-8282
Fax
(714) 772-6493
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A17638 CA
Student in an Organized Health Care Education/Training Program 390200000X UO5045 FL
Internal Medicine Physician 207R00000X 20A17638 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 404
Anaheim, CA 92801-2806

Mailing address

PO Box 15090
Anaheim, CA 92803-5090
Phone (714) 772-8282

Other names 1

  • Miss Nguyenvy Ta Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20200210002762 CA Practitioner - Internal Medicine 9537595566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chest and Critical Care Consultants a Medical GroupGroup PAC ID 7911987961, 71 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 573-8200

3430 E la Palma Ave
Anaheim, CA 92806-2020
Phone (888) 988-2800

3460 E la Palma Ave
Anaheim, CA 92806-2020
Phone (714) 644-2010

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17638CAMDDental Hygienist
20A17638CAMDHospitalist Physician
UO5045FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Critical Care Consultants a Medical Group Internal Medicine Current Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Mar 5, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 28, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 28, 2024 Accepting new patients
Kansal Inc Internal Medicine CurrentSince Dec 17, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

660 4th St
San Francisco, CA 94107
Phone (415) 349-0850

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Organizations & group practices 8

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1508217159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15090",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928035090",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGUYENVY",
        "middle_name": "CHI",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2024-12-30",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A17638",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NGUYENVY",
            "last_name": "TA",
            "prefix": "MISS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.