NPIMap

Individual provider Active NPI

Khoi M Tran, MD

  • Gastroenterology Physician
  • Costa Mesa, CA
National Provider Identifier
1821076316
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A54763 Issued in CA
Practice address
1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627-7745
Phone
(949) 386-5260
Fax
(949) 515-0031
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD22244 OR
Gastroenterology Physician 207RG0100X A54763 CA Primary

Addresses

Primary practice location

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627-7745

Mailing address

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627-7745
Phone (949) 386-5260

Other practice location 1

1007 Harlow Rd
Ste 210
Springfield, OR 97477-7124
Phone (541) 284-1600

Other practice location 2

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111

Other identifiers 1

IdentifierTypeStateIssuer
288183MedicaidOR

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group
Direct Messaging Address ktran310275@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050107000907 OR Practitioner - Gastroenterology 6507759677 Reassigns benefits to 4 organizations
I20151019002418 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 6507759677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Suite a
Irvine, CA 92618-2621
Phone (949) 671-4673

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54763CAMDGastroenterology Physician
MD22244ORMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Feb 21, 2025 Accepting new patients
UC Regents CurrentSince Sep 11, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 24, 2024 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 21, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 24, 2024 Accepting new patients
UC Regents CurrentSince Sep 11, 2015 Accepting new patients
Albany General Hospital CurrentSince Feb 21, 2025 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Albany General Hospital CurrentSince Feb 21, 2025 Accepting new patients
Albany General Hospital Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Feb 21, 2025 Accepting new patients
UC Regents Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627
Phone (949) 276-4008

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

Interoperability endpoints

  • Direct secure messaging: ktran1180746@oc.providencedirect.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1821076316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD",
            "address_2": "STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277745",
            "telephone_number": "949-386-5260",
            "fax_number": "949-515-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD",
            "address_2": "STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277745",
            "telephone_number": "949-386-5260",
            "fax_number": "949-515-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Harlow Rd",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974777124",
            "country_code": "US",
            "telephone_number": "541-284-1600",
            "fax_number": "541-242-4634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305472",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHOI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD22244",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A54763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288183",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktran310275@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.