Individual provider Active NPI

Bao Quoc Tran, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Ana, CA
National Provider Identifier
1508868597
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A90007 Issued in CA
Practice address
2901 W Macarthur Blvd
Suite 107
Santa Ana, CA 92704-6910
Phone
(714) 210-2340
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A90007 CA Primary

Addresses

Primary practice location

2901 W Macarthur Blvd
Suite 107
Santa Ana, CA 92704-6910

Mailing address

31 Pembroke
Irvine, CA 92618-3988
Phone (714) 336-1264

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
I20071120000664 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician)Practitioner - Pain ManagementPractitioner - RheumatologyPractitioner - NeurologyPractitioner - NephrologyPractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Interventional Pain Management 1052409356 Practice locations: Long Beach, CA; Santa Ana, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90007CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew M Malerich MD Inc Past Accepting new patients

Organizations & group practices 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1508868597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PEMBROKE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183988",
            "telephone_number": "714-336-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W MACARTHUR BLVD",
            "address_2": "SUITE 107",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046910",
            "telephone_number": "714-210-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BAO",
        "middle_name": "QUOC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A90007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.