Individual provider Active NPI

Quyen Anh Tran

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1679892392
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C159181 Issued in CA
Practice address
879 Newport Center Dr
Newport Beach, CA 92660
Phone
(833) 334-6393
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P5745 TX
Family Medicine Physician 207Q00000X DR.0066763 CO
Family Medicine Physician 207Q00000X 25MA11500600 NJ
Family Medicine Physician 207Q00000X 036152209 IL
Family Medicine Physician 207Q00000X 306314 NY
Family Medicine Physician 207Q00000X 90647 GA
Family Medicine Physician 207Q00000X D93623 MD
Family Medicine Physician 207Q00000X 290491 MA
Family Medicine Physician 207Q00000X MD61077437 WA
Family Medicine Physician 207Q00000X 0101274362 VA
Family Medicine Physician 207Q00000X MD210002011 DC
Family Medicine Physician 207Q00000X MD477780 PA
Family Medicine Physician 207Q00000X 64219 AZ
Family Medicine Physician 207Q00000X ME152060 FL
Family Medicine Physician 207Q00000X C159181 CA Primary

Addresses

Primary practice location

879 Newport Center Dr
Newport Beach, CA 92660

Mailing address

879 Newport Center Dr
Newport Beach, CA 92660-6943
Phone (833) 334-6393

Other practice location 1

7014 E Camelback Rd Ste 1435
Scottsdale, AZ 85251-1215
Phone (833) 334-6393

Other practice location 2

800 Boylston St Spc 151
Boston, MA 02199-8167
Phone (833) 334-6393

Other practice location 3

701 S Miami Ave Unit 322A
Miami, FL 33130-1960
Phone (833) 334-6393

Other practice location 4

300 Buckhead Ave NE
Atlanta, GA 30305-3063
Phone (833) 334-6393

Other practice location 5

110 Clayton Ln
Denver, CO 80206-5675
Phone (833) 334-6393

Other practice location 6

200 N Michigan Ave Ste 102
Chicago, IL 60601-5509
Phone (833) 334-6393

Other practice location 7

3699 McKinney Ave Ste 103
Dallas, TX 75204-4551
Phone (833) 334-6393

Other practice location 8

801 9th St NW # 801-C
Washington, DC 20001-4784
Phone (833) 334-6393

Other practice location 9

1153 Broadway
New York, NY 10001-7517
Phone (833) 334-6393

Other practice location 10

1014 Bellevue Sq
Bellevue, WA 98004-5019
Phone (833) 334-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160113002253 TX Practitioner - Family Practice 3072815620 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64219AZMDFamily Medicine Physician
C159181CAMDFamily Medicine Physician
DR.0066763COMDFamily Medicine Physician
MD210002011DCMDFamily Medicine Physician
ME152060FLMDFamily Medicine Physician
90647GAMDFamily Medicine Physician
036152209ILMDFamily Medicine Physician
290491MAMDFamily Medicine Physician
D93623MDMDFamily Medicine Physician
25MA11500600NJMDFamily Medicine Physician
MD477780PAMDFamily Medicine Physician
0101274362VAMDFamily Medicine Physician
MD61077437WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Dec 1, 2015 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Dec 1, 2015 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Ste 1250
Houston, TX 77030
Phone (201) 303-1092

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1679892392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 NEWPORT CENTER DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606943",
            "telephone_number": "833-334-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 NEWPORT CENTER DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "833-334-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7014 E Camelback Rd Ste 1435",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852511215",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Boylston St Spc 151",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021998167",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Miami Ave Unit 322A",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301960",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Buckhead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303053063",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Clayton Ln",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065675",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Michigan Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015509",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3699 McKinney Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752044551",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 9th St NW # 801-C",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200014784",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017517",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Bellevue Sq",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980045019",
            "country_code": "US",
            "telephone_number": "833-334-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUYEN",
        "middle_name": "ANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5745",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0066763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11500600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036152209",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "306314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "90647",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D93623",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "290491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61077437",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101274362",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD210002011",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD477780",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "64219",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152060",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C159181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.