Organization Active NPI

Tuan Anh Tran, PC

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1760763346
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TUAN ANH TRAN, PC
Doing business as
Tuan Anh Tran, PC
Practice address
989 Story Rd Unit 8072
San Jose, CA 95122-4603
Phone
(408) 263-6207
Fax
(408) 263-6245
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Tuan Anh Tran, D.O., D.C.NPI 1366467102
Title
Clinic Director
Phone
(408) 263-6207

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

989 Story Rd Unit 8072
San Jose, CA 95122-4603

Mailing address

989 Story Rd Unit 8072
San Jose, CA 95122-4603
Phone (408) 263-6207

Other identifiers 2

IdentifierTypeStateIssuer
DC0258150MedicaidCA
11058739OtherCACAQH PROVIDER ID

Other names 1

  • Tuan Anh Tran, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312001359 CA Part B Supplier - Clinic/Group Practice 4385874387 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

629 S Main St
Milpitas, CA 95035
Phone (408) 263-6207

989 Story Rd
Unit 8072
San Jose, CA 95122
Phone (408) 263-6207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1760763346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 STORY RD UNIT 8072",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224603",
            "telephone_number": "408-263-6207",
            "fax_number": "408-263-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 STORY RD UNIT 8072",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224603",
            "telephone_number": "408-263-6207",
            "fax_number": "408-263-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN ANH TRAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "408-263-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0258150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11058739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuan Anh Tran, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.