Individual provider Active NPI

Sang Huu Tran, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1841388303
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA11224T Issued in CA
Practice address
6930 65TH St
Suite #113
Sacramento, CA 95823-2343
Phone
(916) 395-7571
Fax
(916) 395-7195
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA11224T CA Primary

Addresses

Primary practice location

6930 65TH St
Suite #113
Sacramento, CA 95823-2343

Mailing address

6930 65TH St
Suite #113
Sacramento, CA 95823-2343
Phone (916) 395-7571

Other identifiers 1

IdentifierTypeStateIssuer
SD0112240MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000739 CA Practitioner - Optometry 3577720333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6930 65TH St
Suite 113
Sacramento, CA 95823-2341
Phone (916) 395-7571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA11224TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacvision Incorporated Optometrist CurrentSince Mar 16, 2016 Accepting new patients

Locations

6930 65th St
Ste 113
Sacramento, CA 95823
Phone (916) 395-7528

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1841388303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 65TH ST",
            "address_2": "SUITE #113",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232343",
            "telephone_number": "916-395-7571",
            "fax_number": "916-395-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 65TH ST",
            "address_2": "SUITE #113",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232343",
            "telephone_number": "916-395-7571",
            "fax_number": "916-395-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SANG",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11224T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.