Mai-Linh Ngoc Tran, M.D.
Individual provider Active NPI Family Medicine Physician · San Bernardino, CA
NPI 1588041859 · NPPES record last updated Aug 21, 2018
Key facts
- NPI
- 1588041859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A144159 (CA)
- Practice address
- 1455 3Rd Ave
San Bernardino, CA 92408 - Phone
- (909) 382-7100
- NPI assigned
- May 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sac Health System
Practice addresses (Care Compare)
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
Hospital & facility affiliations
- Loma Linda University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180726003286 | CA | Practitioner - Family Practice | 2163701178 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144159 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current |
Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- mtran62449@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A144159 | CA | Yes |
Addresses
Primary practice location
1455 3Rd Ave
San Bernardino, CA 92408
Mailing address
1200 California St Ste 240
Redlands, CA 92374-2948
Phone (909) 558-6526
Other practice location 1
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 558-6526
Other providers in San Bernardino, CA
- Breanna Tran Padron
- Carolyn CHI Tran
- Helen Phuoc Dien Tran
- Hong Thanh Tran
- Khue Tran
- Ngoc M Tran
- Phu Trong Tran
- Ruby Tran
- Tam K. Tran
- Tiffany Tran
All providers in San Bernardino, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.