Individual provider Active NPI

Vythao Thi Tran, MD

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1578767992
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A106361 Issued in CA
Practice address
725 Welch Rd RM 16814
Lucile Packard Childrens Hospital Dept. of Radiology
Palo Alto, CA 94304-1601
Phone
(818) 458-1142
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A106361 CA Primary

Addresses

Primary practice location

725 Welch Rd RM 16814
Lucile Packard Childrens Hospital Dept. of Radiology
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd RM 16814
Lucile Packard Childrens Hospital Dept. of Radiology
Palo Alto, CA 94304-1601
Phone (818) 458-1142

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
I20120928000489 CA Practitioner - Diagnostic Radiology 2668621087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Practice addresses (Care Compare)

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106361CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince May 1, 2014 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince May 1, 2014 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Oct 14, 2017 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
United Medical Doctors Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Renaissance Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1578767992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD RM 16814",
            "address_2": "LUCILE PACKARD CHILDRENS HOSPITAL DEPT. OF RADIOLOGY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "818-458-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD RM 16814",
            "address_2": "LUCILE PACKARD CHILDRENS HOSPITAL DEPT. OF RADIOLOGY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "818-458-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VYTHAO",
        "middle_name": "THI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A106361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.