Individual provider Active NPI

Matthew Tran, MD

  • Student in an Organized Health Care Education/Training Program
  • San Jose, CA
National Provider Identifier
1902509912
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A200526CAMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Health CurrentSince Jul 1, 2026 Accepting new patients
Momentum for Health PastSince Jul 1, 2026 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.

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

Verify at the official NPI Registry.