JONATHAN TRAN
NPI 1871294884
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since March 15, 2023PECOS Enrolled
714 TIVERTON AVE, LOS ANGELES, CA 90095(408) 416-7437 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Mar 15, 2023 (2 updates tracked since 2023).

About Jonathan Tran NPPES

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

JONATHAN TRAN (NPI 1871294884) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (111768) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871294884
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJONATHAN TRAN
Location Address714 TIVERTON AVELos Angeles, CA 90095-3720
Mailing Address714 Tiverton AveLos Angeles, CA 90095-8361 · Fax (310) 794-2198
Sole ProprietorNo
Enumeration DateMarch 15, 2023
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
NPI 1871294884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 111768
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
714 TIVERTON AVE, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Tran 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Dentist (Periodontics)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Dentist (Pediatric Dentistry)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095

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 Jonathan Tran's NPI number?

The NPI number for Jonathan Tran is 1871294884. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Jonathan Tran located?

Jonathan Tran practices at 714 Tiverton Ave, Los Angeles, CA 90095. The listed phone number is (408) 416-7437.

What is Jonathan Tran's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathan Tran enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Tran was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.