Individual provider Active NPI

Brendan Khanh Tuan Tran, DO

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1568039758
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A22597 Issued in CA
Practice address
227 N Jackson Ave Ste I-205
San Jose, CA 95116-1632
Phone
(408) 254-9192
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A22597 CA Primary

Addresses

Primary practice location

227 N Jackson Ave Ste I-205
San Jose, CA 95116-1632

Mailing address

227 N Jackson Ave Ste I-205
San Jose, CA 95116-1632

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
I20240731000502 CA Practitioner - Internal Medicine 4284171919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

Hospital & facility affiliations

  • South Springs Home Health Care Home health agency, San Jose, CA, CCN 059620
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22597CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Richard J Trevino MD a Professional Corporation CurrentSince Sep 8, 2024 Accepting new patients
One Health Primary Care LLC Internal Medicine Past Accepting new patients

Locations

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

227 N Jackson Ave
Ste I205
San Jose, CA 95116
Phone (408) 254-9192

2611 Senter Rd
Ste 238
San Jose, CA 95111
Phone (408) 281-3889

1661 Burdette Dr
Ste N
San Jose, CA 95121
Phone (408) 270-4582

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 2

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1568039758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE I-205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE I-205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161632",
            "telephone_number": "408-254-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BRENDAN",
        "middle_name": "KHANH TUAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A22597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.