Individual provider Active NPI

Theodore D. Tran, M.D.

  • Ophthalmology Physician
  • Anaheim, CA
National Provider Identifier
1710072442
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83497 Issued in CA
Practice address
1739 W. Romneya Dr.
Anaheim, CA 92801-9280
Phone
(714) 502-9393
Fax
(714) 772-4321
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G83497 CA Primary

Addresses

Primary practice location

1739 W. Romneya Dr.
Anaheim, CA 92801-9280

Mailing address

1739 W. Romneya Dr.
Anaheim, CA 92801-9280
Phone (714) 502-9393

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
I20080507000317 CA Practitioner - Ophthalmology 2163501719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1739 W Romneya Dr
Anaheim, CA 92801-1804

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83497CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore D. Tran, M.D., Inc. Ophthalmology CurrentSince Feb 14, 1997 Accepting new patients
Anaheim Memorial Medical Center PastSince Feb 14, 1997 Accepting new patients

Locations

1739 W Romneya Dr
Anaheim, CA 92801
Phone (714) 502-9393

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710072442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 W. ROMNEYA DR.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928019280",
            "telephone_number": "714-502-9393",
            "fax_number": "714-772-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W. ROMNEYA DR.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928019280",
            "telephone_number": "714-502-9393",
            "fax_number": "714-772-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THEODORE",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.