Organization Active NPI

Ninh Huy Tran, M.D., Inc.

  • Ophthalmology Physician
  • San Carlos, CA
National Provider Identifier
1922208529
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A70342 Issued in CA
Legal business name
NINH HUY TRAN, M.D., INC.
Practice address
750 El Camino Real
San Carlos, CA 94070-3106
Phone
(650) 596-1999
Fax
(650) 596-1987
NPI assigned
Jul 20, 2007
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Ninh Huy Tran, M.D.NPI 1962402966
Title
Owner
Phone
(650) 596-1999

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
Ophthalmology Physician 207W00000X A70342 CA Primary

Addresses

Primary practice location

750 El Camino Real
San Carlos, CA 94070-3106

Mailing address

750 El Camino Real
San Carlos, CA 94070-3106
Phone (650) 596-1999

Other identifiers 1

IdentifierTypeStateIssuer
00A703420MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000861 CA Part B Supplier - Clinic/Group Practice 0345334827 Receives reassigned benefits from 2 practitioners
Practice locations: San Carlos, CA

National Provider Directory

National Provider Directory

Locations

619 Laurel St
San Carlos, CA 94070
Phone (650) 596-1999

750 El Camino Real
San Carlos, CA 94070
Phone (650) 596-1999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1922208529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703106",
            "telephone_number": "650-596-1999",
            "fax_number": "650-596-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703106",
            "telephone_number": "650-596-1999",
            "fax_number": "650-596-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINH HUY TRAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NINH",
        "authorized_official_middle_name": "HUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-596-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A70342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.