Individual provider Active NPI

Thu Phuong Tran, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Belmont, CA
National Provider Identifier
1548416167
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01073625A Issued in IN
Practice address
1573 Sunnyslope Ave
Belmont, CA 94002-3731
Phone
(310) 634-9486
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01073625A IN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A109742 CA

Addresses

Primary practice location

1573 Sunnyslope Ave
Belmont, CA 94002-3731

Mailing address

1573 Sunnyslope Ave
Belmont, CA 94002-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150923002418 PA Practitioner - Pathology 2062729015 Reassigns benefits to 1 organization
I20240105000858 CA Practitioner - Pathology 2062729015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Pathologists Medical Group IncGroup PAC ID 2961485925, 17 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 616-2951

383 E Grand Ave
Suite a
South San Francisco, CA 94080-6234
Phone (650) 616-2951

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (650) 616-2951

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
85.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
76.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109742CAMDAnatomic Pathology & Clinical Pathology Physician
01073625AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Anatomic Pathology & Clinical Pathology CurrentSince Aug 4, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 4, 2015 Accepting new patients
Peninsula Pathologists Medical Group CurrentSince Oct 11, 2024 Accepting new patients
El Camino Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Peninsula Pathologists Medical Group Inc. Anatomic Pathology & Clinical Pathology CurrentSince Oct 11, 2024 Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

12935 Alcosta Blvd
Unit 3888
San Ramon, CA 94583

383 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (650) 616-2951

5700 Southwyck Blvd
Toledo, OH 43614

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1548416167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 SUNNYSLOPE AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 SUNNYSLOPE AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023731",
            "telephone_number": "310-634-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THU",
        "middle_name": "PHUONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01073625A",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A109742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.