Active NPI
Quan Minh Tran, O.D.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1518019140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11964-TLG
- Practice address
- 305 N Main St
Santa Ana, CA 92701-4852 - Phone
- (714) 835-3599
- Fax
- (714) 835-0992
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11964-TLG | CA | Primary |
Addresses
Primary practice location
305 N Main St
Santa Ana, CA 92701-4852
Mailing address
3639 W Myra Ave
Anaheim, CA 92804-4624
Phone (714) 928-4066
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000283 | CA | Practitioner - Optometry | 1658340252 | Practice locations: Santa Ana, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11964-TLG | CA | MD | Optometrist |
| 11964 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1518019140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 W MYRA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044624",
"telephone_number": "714-928-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014852",
"telephone_number": "714-835-3599",
"fax_number": "714-835-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "QUAN",
"middle_name": "MINH",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11964-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.