Organization Active NPI

HGRT Medical Group Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • San Juan Capistrano, CA
National Provider Identifier
1801363858
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
HGRT MEDICAL GROUP INC
Practice address
31741 Rancho Hill Viejo Road
San Juan Capistrano, CA 92675
Phone
(949) 229-1219
Fax
(949) 270-1714
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Ryan B Tran, MDNPI 1801998174
Title
President
Phone
(949) 229-1219

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

31741 Rancho Hill Viejo Road
San Juan Capistrano, CA 92675

Mailing address

15333 Culver Dr Ste 340
Irvine, CA 92604-3051
Phone (949) 229-1219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190108004052 CA Part B Supplier - Clinic/Group Practice 8921344193 Receives reassigned benefits from 4 practitioners
Practice locations: Murrieta, CA; San Juan Capistrano, CA; Newport Beach, CA; Mission Viejo, CA; Lake Forest, CA; Laguna Hills, CA; Capistrano Beach, CA; Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

35410 Del Rey
Dana Point, CA 92624
Phone (661) 334-2200

24452 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 630-0584

Practitioners & affiliated clinicians

Practitioners 4

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1801363858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 CULVER DR STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043051",
            "telephone_number": "949-229-1219",
            "fax_number": "949-270-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31741 RANCHO HILL VIEJO ROAD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-229-1219",
            "fax_number": "949-270-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HGRT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-229-1219",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.