Phuong Duc Tran, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50186 Issued in CA

Practice address

3862 Katella Ave
#A
Los Alamitos, CA 90720-3354

Phone

(562) 795-5190

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By 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 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831113968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SALTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022425",
            "telephone_number": "949-632-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3862 KATELLA AVE",
            "address_2": "#A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203354",
            "telephone_number": "562-795-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toulouse Chiropractic
• Justin Toulouse, DC
• Meagan Elyse Toy, PHARMD
• Evans Phung Tran, PA
• Ky Tran, M.D.
• Ryan Nhu-Badiep Tran, MD
• Vivi Tran, D.O.
• Xuan Hoang Linda Thi Tran, NP
• Darlene Deanna Travis
• Jesse M Trice III, MFT

• General Practice Dentistry in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.