Active NPI
Mai Khanh Tran, MD
- Pediatrics Physician
- Fountain Valley, CA
National Provider Identifier
1770514382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G77902
- Practice address
- 9900 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153 - Phone
- (714) 965-2500
- Fax
- (714) 965-2581
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G77902 | CA | Primary |
Addresses
Primary practice location
9900 Talbert Ave
Suite 201
Fountain Valley, CA 92708-5153
Mailing address
PO Box 8039
Fountain Valley, CA 92708-8039
Phone (714) 965-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77902 | CA | MD | Pediatrics Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Subspecialty Faculty, Inc. | Pediatrics | Past | Accepting new patients |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1770514382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8039",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927088039",
"telephone_number": "714-965-2500",
"fax_number": "714-965-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 TALBERT AVE",
"address_2": "SUITE 201",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-965-2500",
"fax_number": "714-965-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAI KHANH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G77902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.