Active NPI
Kenneth K Tram, MD
- Geriatric Medicine (Internal Medicine) Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G67475
- Practice address
- 293 S Main St
Orange, CA 92868-3843 - Phone
- (714) 838-8848
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G67475 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G67475 | CA | Primary |
Addresses
Primary practice location
293 S Main St
Orange, CA 92868-3843
Mailing address
17360 Brookhurst St
Attn: MCMF- Credentialing Department
Fountain Valley, CA 92708-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G674750 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002
Hospital & facility affiliations
- 24/7 Care at Home - Home Health
- Providence at Home With Compassus Home Health Orange County
- Uci Health-Orange
- Hoag Memorial Hospital Presbyterian
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67475 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current | Accepting new patients | |
| UC Regents | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Uci Medical Group | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
293 S Main St
Orange, CA 92868
Phone (714) 282-9495
293 S Main St
Ste 200
Orange, CA 92868
Phone (714) 838-8848
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
16611 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 528-8670
Organizations & group practices 18
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.
-
- Family Medicine Physician
- Orange, CA
- NPI 1679521850
Internal Medicine
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1801443510
-
- Internal Medicine Physician
- Orange, CA
- NPI 1205884392
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
Internal Medicine
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Home Health Agency
- Westminster, CA
- NPI 1447448519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1700875911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"address_2": "ATTN: MCMF- CREDENTIALING DEPARTMENT",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683843",
"telephone_number": "714-838-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAM",
"first_name": "KENNETH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G67475",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G67475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G674750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.