Phuc-Bao Tran, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CA20A16282 Issued in CA

Practice address

2592 N Santiago Blvd
Orange, CA 92867-1862

Phone

(714) 577-2271

Fax

(949) 281-5550

NPI assigned

Jun 16, 2016

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excell Integrated Medical Group IncGroup PAC ID 1557782349, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excell Home Care Inc Home health agency, Paramount, CA, CCN 058212
• Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
• Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
• Ocean Ridge Post Acute Nursing home, Long Beach, CA, CCN 056378
• Bonita Hills Post Acute Nursing home, La Habra, CA, CCN 055622
• Atlantic Memorial Healthcare Center Nursing home, Long Beach, CA, CCN 055744

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Alamitos Ridge Healthcare, LLC

  dba Ocean Ridge Post Acute

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1689308132

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excell Integrated Medical Group Inc

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1659909521
  Medicare reassignment Care Compare group NPD
• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment NPD
• Excell Integrated Medical Corporation

  • Hospitalist Physician
  • Paramount, CA
  • NPI 1164195848
  Medicare reassignment
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Infectious Disease Physician
  • Long Beach, CA
  • NPI 1639614076
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alamitos Ridge Healthcare, LLC

  dba Ocean Ridge Post Acute

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1689308132

  Nursing home

  Care Compare affiliation
• Alta Newport Hospital, LLC

  dba Foothill Regional Medical Center

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  Care Compare affiliation
• Atlantic Memorial Healthcare Associates, Inc.

  dba Atlantic Memorial Healthcare Center

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1811997570

  Nursing home

  Care Compare affiliation
• Excell Home Care, Inc.

  • Home Health Agency
  • Long Beach, CA
  • NPI 1588630081
  Care Compare affiliation
• La Habra Post Acute LLC

  dba Bonita Hills Post Acute

  • Skilled Nursing Facility
  • La Habra, CA
  • NPI 1437884038

  Nursing home

  Care Compare affiliation
• Omnicare Home Health Inc.

  • Home Health Agency
  • Torrance, CA
  • NPI 1760724231
  Care Compare affiliation

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1811347198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22921 ESTORIL DR",
            "address_2": "UNIT #3",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917655407",
            "telephone_number": "517-281-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671862",
            "telephone_number": "714-577-2271",
            "fax_number": "949-281-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5451 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "91710",
            "country_code": "US",
            "telephone_number": "909-464-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUC-BAO",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16282",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "CA20A16282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Tran, PA
• Nyvia Bao Ngan Tran
• Paulvina Nghi Tran
• Peter Tran
• Phoi Tran
• Phuong Tran
• Robert T Tran, MD
• Ryan Tran
• Son Binh Tran, M.D.
• Sophia Nga Tran, PSYD

• Family Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.