HAI TRAN, M.D., INC.
NPI 1639366966
Dermatology in Victorville, CA

Active since October 01, 2007
12611 HESPERIA RD, SUITE A, VICTORVILLE, CA 92395(760) 951-7762(760) 951-7134 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hai Tran, M.d., Inc. NPPES

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

HAI TRAN, M.D., INC. (NPI 1639366966) is a healthcare organization registered as a dermatology in Victorville, California and active in the NPI registry since October 2007. The organization lists Hai Tran, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1639366966
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHAI TRAN, M.D., INC.
Location Address12611 HESPERIA RD, SUITE AVictorville, CA 92395-8307
Mailing Address12611 Hesperia Rd, Suite AVictorville, CA 92395-8307 · (760) 951-7762 · Fax (760) 951-7134
Fax(760) 951-7134
Organization SubpartNo
Authorized OfficialHai TranC.e.o. · (760) 951-7762
Enumeration DateOctober 1, 2007
Last NPPES UpdateOctober 7, 2008
✔ NPI 1639366966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G083905
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
12611 HESPERIA RD, Victorville, CA 92395

Other Identifiers 2

Medicare PINZZZ07637Z
Medicare PINW18520CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hai Tran, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20080710000795Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hai Tran, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1093763104
12611 HESPERIA RD SUITE A
Victorville, CA 92395
(760) 951-8714
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hai Tran, M.D., Inc.'s NPI number?

The NPI number for Hai Tran, M.D., Inc. is 1639366966. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Hai Tran, M.D., Inc. located?

Hai Tran, M.D., Inc. is located at 12611 Hesperia Rd Suite A, Victorville, CA 92395. The listed phone number is (760) 951-7762.

What is Hai Tran, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Hai Tran, M.D., Inc. enrolled in Medicare?

Yes. Hai Tran, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Hai Tran, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hai Tran, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Hai Tran, M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hai Tran, M.D., Inc. was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.