Organization Active NPI

Tran Medical Group Inc

  • General Practice Physician
  • Anaheim, CA
National Provider Identifier
1568119055
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TRAN MEDICAL GROUP INC
Practice address
1250 S Magnolia Ave
Anaheim, CA 92804-5116
Phone
(714) 386-2404
Fax
(323) 433-9177
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Kien Phuc Tran, MD
Title
President
Phone
(714) 386-2404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

1250 S Magnolia Ave
Anaheim, CA 92804-5116

Mailing address

9972 Westhaven Cir
Westminster, CA 92683-7552
Phone (714) 386-2404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830001915 CA Part B Supplier - Clinic/Group Practice 1355725060 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

1250 S Magnolia Ave
Anaheim, CA 92804
Phone (714) 220-1188

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1568119055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9972 WESTHAVEN CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837552",
            "telephone_number": "714-386-2404",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045116",
            "telephone_number": "714-386-2404",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KIEN",
        "authorized_official_middle_name": "PHUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-386-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.