Individual provider Active NPI

Dao Hoang Tran, PA-C

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1780449470
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64014 Issued in CA
Practice address
2333 W March LN Ste A2
Stockton, CA 95207-5263
Phone
(209) 475-8144
Fax
(209) 474-7679
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 PA64014 CA Primary

Addresses

Primary practice location

2333 W March LN Ste A2
Stockton, CA 95207-5263

Mailing address

981 Gridley St
San Jose, CA 95127-1051

Other practice location 1

7743 West Ln Ste A1
Stockton, CA 95210-3381
Phone (209) 477-4380

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001907 CA Practitioner - Physician Assistant 4183143415 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64014CAMDEndodontist
PA64014CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Sep 9, 2025 Accepting new patients
County of San Joaquin CurrentSince Sep 9, 2025 Accepting new patients
County of San Joaquin CurrentSince Sep 9, 2025 Accepting new patients
Strawberry Creek Medical Group of California PC Past Accepting new patients
March Lane Medical Clinic Inc PastSince Mar 16, 2015 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

Organizations & group practices 6

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1780449470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 GRIDLEY ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W MARCH LN STE A2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075263",
            "telephone_number": "209-475-8144",
            "fax_number": "209-474-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7743 West Ln Ste A1",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952103381",
            "country_code": "US",
            "telephone_number": "209-477-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAO",
        "middle_name": "HOANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.