Organization Active NPI

Toanhungtran MD Inc

  • General Practice Physician
  • Stockton, CA
National Provider Identifier
1932383924
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A37620 Issued in CA
Legal business name
TOANHUNGTRAN MD INC
Practice address
4545 Georgetown PL
C 16
Stockton, CA 95207-6215
Phone
(209) 957-0641
Fax
(209) 957-0550
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Toan Hung Tran, M.D.NPI 1164500773
Title
President
Phone
(209) 957-0641

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A37620 CA Primary

Addresses

Primary practice location

4545 Georgetown PL
C 16
Stockton, CA 95207-6215

Mailing address

4545 Georgetown PL
C 16
Stockton, CA 95207-6215
Phone (209) 957-0641

Other identifiers 1

IdentifierTypeStateIssuer
00A376200MedicaidCA

National Provider Directory

National Provider Directory

Locations

4545 Georgetown Pl
Ste C16
Stockton, CA 95207
Phone (209) 227-9297

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1932383924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL",
            "address_2": "C 16",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076215",
            "telephone_number": "209-957-0641",
            "fax_number": "209-957-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL",
            "address_2": "C 16",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076215",
            "telephone_number": "209-957-0641",
            "fax_number": "209-957-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOANHUNGTRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TOAN",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-957-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A376200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.