NPIMap

Individual provider Active NPI

Tan D Tran, M.D.

  • Specialist
  • Manteca, CA
National Provider Identifier
1508807066
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A69009 Issued in CA
Practice address
292 Cottage Ave
Manteca, CA 95336-4942
Phone
(209) 239-4229
Fax
(209) 239-4209
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A69009 CA Primary

Addresses

Primary practice location

292 Cottage Ave
Manteca, CA 95336-4942

Mailing address

292 Cottage Ave
Manteca, CA 95336-4942
Phone (209) 239-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000601 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0941287171 Practice locations: Manteca, CA; Tracy, CA; Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

292 N Cottage Ave
Manteca, CA 92236-4942
Phone (209) 239-4229

292 N Cottage Ave
Manteca, CA 95336-4942

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy332
Upper gastrointestinal (GI) endoscopy for acid reflux324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69009CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tan Tran MD Inc Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ttran97046@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508807066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 COTTAGE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364942",
            "telephone_number": "209-239-4229",
            "fax_number": "209-239-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 COTTAGE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364942",
            "telephone_number": "209-239-4229",
            "fax_number": "209-239-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A69009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.