Active NPI
Matthew Tran, MD
- Student in an Organized Health Care Education/Training Program
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- KP San Jose Psychiatry Residency
6620 Via del Oro, Second Floor
San Jose, CA 95119 - Phone
- (612) 564-9352
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | A200526 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
KP San Jose Psychiatry Residency
6620 Via del Oro, Second Floor
San Jose, CA 95119
Mailing address
KP San Jose Psychiatry Residency
6620 Via del Oro, Second Floor
San Jose, CA 95119
Phone (612) 564-9352
Other practice location 1
540 N 1st St
San Jose, CA 95112-5319
Phone (408) 510-3420
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616002631 | CA | Practitioner - Psychiatry | 1456898063 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Minnesota Medical School, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1208 King St
Suite 405
Chattanooga, TN 37403-4352
1800 Harrison St
FL 21
Oakland, CA 94612-3463
1922 The Alameda
Suite 420
San Jose, CA 95126-1430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A200526 | CA | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Past | Accepting new patients |
Locations
540 N 1st St
San Jose, CA 95112
Phone (408) 510-3420
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1174891113
-
- Psychologist
- San Jose, CA
- NPI 1760181234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1902509912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KP SAN JOSE PSYCHIATRY RESIDENCY",
"address_2": "6620 VIA DEL ORO, SECOND FLOOR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "612-564-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KP SAN JOSE PSYCHIATRY RESIDENCY",
"address_2": "6620 VIA DEL ORO, SECOND FLOOR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "612-564-9352"
}
],
"practiceLocations": [
{
"address_1": "540 N 1st St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951125319",
"country_code": "US",
"telephone_number": "408-510-3420",
"fax_number": "408-642-6052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "CA",
"license": "A200526",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.
- 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.