Sergio Ibanez Trani Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A48853 Issued in CA

Practice address

15955 Paramount Blvd
Unit a
Paramount, CA 90723-5113

Phone

(562) 531-9806

Fax

(562) 531-1394

NPI assigned

Jul 11, 2006

Last updated

Apr 20, 2010By 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

Other identifiers 1

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

General Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Medica la Sagrada Familia a Professional Medical CorpGroup PAC ID 1456393149, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Precious Home Health Services, Inc

  • Home Health Agency
  • Walnut, CA
  • NPI 1215936166

  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.

• Clinica Medica la Sagrada Familia a Professional Medical Corp

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1578567038

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1891720884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 PARAMOUNT BLVD",
            "address_2": "UNIT A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235113",
            "telephone_number": "562-531-9806",
            "fax_number": "562-531-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 PARAMOUNT BLVD",
            "address_2": "UNIT A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235113",
            "telephone_number": "562-531-9806",
            "fax_number": "562-531-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANI",
        "first_name": "SERGIO",
        "middle_name": "IBANEZ",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Tran
• Kenneth Tran, DDS, MS
• Khai Q Tran, DO
• Vivian Tran, RPH
• Marvin Canlas Trani, DO
• Sulochana Trivedi, M.D.
• Mark Chung-Hsun Tsai, M.D.
• Robert Shou Jen Tsai, MD
• Nina A Turner
• Jennifer O Ty-de Guzman, MSN, FNP,DNP,PMHNP

• Internal Medicine Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.