KENNETH QUANG TRAN DO
NPI 1457055212
Student in an Organized Health Care Education/Training Program in Roseville, CA

Q: What is Kenneth Tran's NPI number?

The NPI number for Kenneth Tran is 1457055212. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Kenneth 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 Kenneth Tran was last updated on April 12, 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 28, 2023PECOS Enrolled

1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2026, Mar 30, 2023 (2 updates tracked since 2023).

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About Kenneth Quang Tran Do NPPES

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

KENNETH QUANG TRAN DO (NPI 1457055212) is an individual student in an organized health care education/training program in Roseville, California, licensed in California (20A24028) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457055212

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNETH QUANG TRANCredential: DO

Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037

Mailing Address757 Westwood Plz, Hospice And Palliative MedicineLos Angeles, CA 90095-7419

Phone(916) 781-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 28, 2023

Last NPPES UpdateApril 12, 20262 updates tracked since enumeration

NPPES CertifiedApril 12, 2026

✔ NPI 1457055212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code390200000X

License✔ Licensed in CA · 20A24028

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20A24028 (CA)

1 MEDICAL PLAZA DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Quang Tran Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749634624

PECOS Enrollment IDI20260205000647

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.

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program