Active NPI
First Santa Ana Medical Group Inc
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1548324429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A30475
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0001140 | Medicaid | CA |
Other names 1
- First Santa Ana Medical Clinic
National Provider Directory
National Provider DirectoryNPI 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.