Organization Active NPI

First Santa Ana Medical Group Inc

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1548324429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A30475 Issued in CA
Legal business name
FIRST SANTA ANA MEDICAL GROUP INC
Practice address
2337 W 1St St
Santa Ana, CA 92703-3503
Phone
(714) 547-2915
Fax
(714) 547-4968
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ngo M Tran, MD
Title
Owner
Phone
(714) 547-3915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A30475 CA Primary

Addresses

Primary practice location

2337 W 1St St
Santa Ana, CA 92703-3503

Mailing address

2337 W 1St St
Santa Ana, CA 92703-3503
Phone (714) 547-2915

Other identifiers 1

IdentifierTypeStateIssuer
GR0001140MedicaidCA

Other names 1

  • First Santa Ana Medical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548324429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033503",
            "telephone_number": "714-547-2915",
            "fax_number": "714-547-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033503",
            "telephone_number": "714-547-2915",
            "fax_number": "714-547-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SANTA ANA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NGO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-547-3915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A30475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0001140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Santa Ana Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.