Organization Active NPI

Tran-Go Medical Corporation

  • Legal Medicine
  • Fresno, CA
National Provider Identifier
1992994248
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A39065 Issued in CA
Legal business name
TRAN-GO MEDICAL CORPORATION
Practice address
1053 R St
Fresno, CA 93721-1312
Phone
(559) 233-3131
Fax
(559) 233-3133
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Patrick Howard Tran, MDNPI 1356401970
Title
Director
Phone
(559) 233-3131

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
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X A39065 CA Primary

Addresses

Primary practice location

1053 R St
Fresno, CA 93721-1312

Mailing address

1053 R St
Fresno, CA 93721-1312
Phone (559) 233-3131

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ17301ZOtherCAMECICARE PROVIDER NUMBER
ZZZ17302ZOtherCAMEDICARE PROVIDER NUMBER
00A390650MedicaidCA

Other names 1

  • VALLEY FAMILY MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026001158 CA Part B Supplier - Clinic/Group Practice 8022034578 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0970624Valley Family Medical Clinic1053 R Street, Fresno, CA 93721Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

Locations

1053 R St
Fresno, CA 93721
Phone (559) 233-3131

1053 R St
Ste 100
Fresno, CA 93721
Phone (559) 233-3131

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1992994248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312",
            "telephone_number": "559-233-3131",
            "fax_number": "559-233-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312",
            "telephone_number": "559-233-3131",
            "fax_number": "559-233-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN-GO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-233-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A39065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MECICARE PROVIDER NUMBER",
            "identifier": "ZZZ17301Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "ZZZ17302Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A390650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.