Active NPI
Kevin H Tran, O.D.
- Optometrist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12661
- Practice address
- 9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416 - Phone
- (909) 440-1014
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12661 | CA | Primary |
Addresses
Primary practice location
9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416
Mailing address
14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9170 Haven Ave
Suite 102
Rancho Cucamonga, CA 91730-5416
Phone (909) 440-1014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Eye Specialists Medical Group, Inc | Current | Accepting new patients | |
| Azul Vision Inc. | Optometrist | Current | Accepting new patients |
| Eyecare Specialists Medical Group, Inc | Optometrist | Past | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666
14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100
12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188
7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004
81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268
2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600
2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100
9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014
1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450
4351 Latham St
#101
Riverside, CA 92501
399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118
494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kevin.tran.p1@direct.atlantiseyecare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- Specialist
- Pasadena, CA
- NPI 1699713099
-
dba AHMC San Gabriel Valley Medical Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Atlantis Eyecare
- Ophthalmology Physician
- Anaheim, CA
- NPI 1437181930
Optometrist
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1710030911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14726 RAMONA AVE STE 203",
"city": "CHINO",
"state": "CA",
"postal_code": "917105730",
"telephone_number": "626-305-9100",
"fax_number": "626-305-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 HAVEN AVE STE 102",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305416",
"telephone_number": "909-440-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KEVIN",
"middle_name": "H",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.