WYNNE TRAN MD
NPI 1164362133
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Wynne Tran's NPI number?

The NPI number for Wynne Tran is 1164362133. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Wynne Tran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Wynne Tran was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2026PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Wynne Tran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNNE TRAN MD (NPI 1164362133) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164362133

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWYNNE TRANCredential: MD

Location Address400 N PEPPER AVEColton, CA 92324-1819

Mailing Address400 N Pepper AveColton, CA 92324-1819 · (909) 580-1000

Phone(909) 580-1000

Sole ProprietorNo

Enumeration DateMarch 30, 2026

NPPES CertifiedMarch 27, 2026

✔ NPI 1164362133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N PEPPER AVE, Colton, CA 92324

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wynne Tran Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN

Licensed Psychiatric Technician