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DR. TOAN HUNG TRAN M.D.
NPI 1164500773
General Practice in Stockton, CA

Active since November 01, 2006PECOS Enrolled
4545 GEORGETOWN PL, C16, STOCKTON, CA 95207(209) 957-0641 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Toan Hung Tran M.d. NPPES

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

DR. TOAN HUNG TRAN M.D. (NPI 1164500773) is an individual general practice provider in Stockton, California, licensed in California (A37620) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164500773
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TOAN HUNG TRANCredential: M.D.
Location Address4545 GEORGETOWN PL, C16Stockton, CA 95207-6215
Mailing Address4545 Georgetown Pl, Ste C16Stockton, CA 95207-6230 · (209) 957-0641 · Fax (209) 957-0550
Phone(209) 957-0641
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 14, 2016
✔ NPI 1164500773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A37620
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4545 GEORGETOWN PL, Stockton, CA 95207
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Other Identifiers 3

Medicare ID-Type Unspecified00A376200CA
Medicare UPINA28423CA
Medicaid00A376200CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Toan Hung Tran M.d. 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims308 services$2.59 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,575 services$0.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

DINA LAY
Day Training/Habilitation Specialist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 200-7076
WALKER CHIROPRACTIC, INC.
Chiropractor
4545 GEORGETOWN PL, SUITE A7
STOCKTON, CA 95207
San Joaquin County (209) 951-3001
MR. JUDY L HALLISEY MFT
Marriage & Family Therapist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 953-8900
MR. MANUEL CRUZ DOMINGUEZ JR.
Counselor (Mental Health)
4545 GEORGETOWN PL, SUITE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TRAN TRAN
Licensed Vocational Nurse
4545 GEORGETOWN PL, A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TELECARE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
4545 GEORGETOWN PL, SUITE D AND E-28
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
LYNELL BENNETT YOUNGBLOOD BA, CADCII, NCACII
Counselor (Addiction (Substance Use Disorder))
4545 GEORGETOWN PL, STE F-36
STOCKTON, CA 95207
San Joaquin County (209) 953-8900
JOHNMARK VANNESS II
Counselor (Professional)
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 955-1139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toan Tran's NPI number?

The NPI number for Toan Tran is 1164500773. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Toan Tran located?

Toan Tran practices at 4545 Georgetown Pl C16, Stockton, CA 95207. The listed phone number is (209) 957-0641.

What is Toan Tran's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Toan Tran enrolled in Medicare?

Yes. Toan Tran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Toan Tran was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.