Dr Peter Tran DO LC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

1188 Issued in NV

Legal business name

DR PETER TRAN DO LC

Practice address

1776 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89012-5018

Phone

(702) 363-3288

Fax

(702) 363-3288

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Anh Tran, D.O.NPI 1598762353

Title

Owner-Physician

Phone

(702) 363-3288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Peter Tran D.O., Family Medicine & Geriatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Peter A Tran IV, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Henderson, NV
  • NPI 1598762353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1699809293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125018",
            "telephone_number": "702-363-3288",
            "fax_number": "702-363-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125018",
            "telephone_number": "702-363-3288",
            "fax_number": "702-363-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER TRAN DO LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "702-363-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506432",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Peter Tran D.O., Family Medicine & Geriatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Family Medicine) Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Geriatric Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.