Organization Active NPI

Ky Minh Tran M D Incorporated

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1720233356
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53142 Issued in CA
Legal business name
KY MINH TRAN M D INCORPORATED
Practice address
3791 Katella Ave Ste 104
Los Alamitos, CA 90720-2000
Phone
(562) 430-1235
Fax
(833) 423-5613
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Ky Minh Tran, MDNPI 1053313270
Title
President
Phone
(562) 430-1235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X C53142 CA Primary

Addresses

Primary practice location

3791 Katella Ave Ste 104
Los Alamitos, CA 90720-2000

Mailing address

PO Box 2332
Los Alamitos, CA 90720-7332
Phone (562) 430-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000610 CA Part B Supplier - Clinic/Group Practice 1557411360 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

4322 Katella Ave
Los Alamitos, CA 90720
Phone (562) 430-1235

3791 Katella Ave
Ste 104
Los Alamitos, CA 90720
Phone (562) 430-1235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1720233356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2332",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907207332",
            "telephone_number": "562-430-1235",
            "fax_number": "833-423-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202000",
            "telephone_number": "562-430-1235",
            "fax_number": "833-423-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY MINH TRAN M D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-430-1235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.