Organization Active NPI

Vu D Tran MD Inc

  • Family Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1912553983
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VU D TRAN MD INC
Practice address
17220 Newhope St Ste 125-126
Fountain Valley, CA 92708-4272
Phone
(714) 617-4310
Fax
(714) 617-4393
NPI assigned
Aug 14, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Vu Dinh Tran, MDNPI 1720424286
Title
MD/President
Phone
(714) 617-4310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

17220 Newhope St Ste 125-126
Fountain Valley, CA 92708-4272

Mailing address

5907 Cerritos Ave Unit 2325
Cypress, CA 90630-8716
Phone (714) 617-4310

Other identifiers 1

IdentifierTypeStateIssuer
A138753OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190924003795 CA Part B Supplier - Clinic/Group Practice 6002146693 Receives reassigned benefits from 5 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

5907 Cerritos Ave
Unit 2325
Cypress, CA 90630

16111 Beach Blvd
Ste A1
Huntington Beach, CA 92647
Phone (714) 596-0368

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1912553983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CERRITOS AVE UNIT 2325",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906308716",
            "telephone_number": "714-617-4310",
            "fax_number": "714-617-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 NEWHOPE ST STE 125-126",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084272",
            "telephone_number": "714-617-4310",
            "fax_number": "714-617-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VU D TRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "714-617-4310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A138753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.