Individual provider Active NPI

Nghia Trung Tran, PA-C

  • Physician Assistant
  • Plymouth, MA
National Provider Identifier
1750707634
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
345 Court St Ste 201
Plymouth, MA 02360-4329
Phone
(508) 746-5300
Fax
(508) 747-2001
NPI assigned
Mar 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

345 Court St Ste 201
Plymouth, MA 02360-4329

Mailing address

345 Court St Ste 201
Plymouth, MA 02360-4329
Phone (508) 746-5300

Other identifiers 1

IdentifierTypeStateIssuer
1117313OtherNCCPA

Other names 1

  • Jimmy Trung Tran Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, NV, MA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140512001905 AZ Practitioner - Physician Assistant 6901039254 Reassigns benefits to 1 organization
I20140618002238 CA Practitioner - Physician Assistant 6901039254 Reassigns benefits to 1 organization
I20150224000147 NV Practitioner - Physician Assistant 6901039254 Reassigns benefits to 1 organization
I20250214000780 MA Practitioner - Physician Assistant 6901039254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plymouth Dermatology Associates, PCGroup PAC ID 3577578012, 4 clinicians

Practice addresses (Care Compare)

345 Court St
Plymouth, MA 02360-4329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Dermatology Specialists PLLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
J Robert West, M.D., Inc CurrentSince May 1, 2017 Accepting new patients

Locations

345 Court St
Ste 201
Plymouth, MA 02360
Phone (508) 746-5300

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

8205 W Warm Springs Rd
Ste 190
Las Vegas, NV 89113
Phone (702) 588-6730

2650 N Tenaya Way
Ste 208
Las Vegas, NV 89128
Phone (702) 360-2100

4488 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 258-1001

Organizations & group practices 5

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1750707634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COURT ST STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COURT ST STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGHIA",
        "middle_name": "TRUNG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1117313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "TRAN",
            "middle_name": "TRUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.