NPIMap

Individual provider Active NPI

Uyen-Thao Phuong Tran, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1891720355
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76709 Issued in CA
Practice address
5379 El Cajon Blvd
San Diego, CA 92115
Phone
(619) 515-2400
Fax
(619) 795-2756
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76709 CA Primary

Addresses

Primary practice location

5379 El Cajon Blvd
San Diego, CA 92115

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2323

Other practice location 1

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

Other practice location 2

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

Other names 1

  • Thao Tran Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000329 CA Practitioner - Family Practice 8628034972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers of San Diego IncGroup PAC ID 3476446378, 299 clinicians

Practice addresses (Care Compare)

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76709CAMDFamily Medicine Physician
76709CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Feb 2, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 2, 2015 Accepting new patients

Locations

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

5379 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2400

Interoperability endpoints

  • Direct secure messaging: utran81685@scrippshlth.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 12

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

FacilityTypeRoleSince
Diamond Neighborhoods Family Health CenterSan Diego, CA, CCN 051101 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Lemon Grove Family Health CenterLemon Grove, CA, CCN 551033 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Logan Heights Family Health CenterSan Diego, CA, CCN 051803 Federally qualified health center W-2 Managing Employee Jun 26, 2023
North Park Family Health CenterSan Diego, CA, CCN 051943 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Hillcrest Family Health Center-AnnexSan Diego, CA, CCN 751886 Federally qualified health center W-2 Managing Employee Jun 25, 2023
Grossmont Family Counseling CenterLa Mesa, CA, CCN 751924 Federally qualified health center W-2 Managing Employee Jun 26, 2023
North Park Family Health Center IISan Diego, CA, CCN 751944 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Familyhealth-Youth Counseling CenterSan Diego, CA, CCN 921025 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Escondido Family Health CenterEscondido, CA, CCN A01199 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Logan Memorial Family Health CenterSan Diego, CA, CCN A01805 Federally qualified health center W-2 Managing Employee Jun 26, 2023
El Cerrito Family Counseling CenterSan Diego, CA, CCN A01862 Federally qualified health center W-2 Managing Employee Jun 26, 2023
Escondido Physical Health and Wellness CenterEscondido, CA, CCN A01949 Federally qualified health center W-2 Managing Employee Jun 25, 2023

Owned or controlled facilities with NPI records 12

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

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1891720355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2323",
            "fax_number": "619-906-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5379 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "619-515-2400",
            "fax_number": "619-795-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 National Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132113",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153621",
            "country_code": "US",
            "telephone_number": "619-515-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "UYEN-THAO",
        "middle_name": "PHUONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAO",
            "last_name": "TRAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.