Individual provider Active NPI

Andrew A Tran, MD

  • Emergency Medicine Physician
  • Tustin, CA
National Provider Identifier
1669408621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
PENDING Issued in CA
Practice address
14662 Newport Ave
Tustin, CA 92780-6064
Phone
(866) 266-6980
Fax
(818) 587-2493
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X PENDING CA Primary

Addresses

Primary practice location

14662 Newport Ave
Tustin, CA 92780-6064

Mailing address

PO Box 4419
Woodland Hills, CA 91365-4419
Phone (714) 669-2000

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
I20060810000480 CA Practitioner - Emergency Medicine 8628071776 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Park Emergency Physicians IncGroup PAC ID 9638305204, 10 clinicians
Pacific Coast Emergency Medical Associates, IncGroup PAC ID 5092861054, 12 clinicians
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

2623 E Slauson Ave
Huntington Park, CA 90255-2926
Phone (323) 583-1931

2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2290

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGCAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 15, 2017 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 20, 2013 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince May 15, 2017 Accepting new patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669408621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4419",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654419",
            "telephone_number": "714-669-2000",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806064",
            "telephone_number": "866-266-6980",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.