CHARLES TAN TRAN – Anesthesiology Physician, NPI 1124605332

CHARLES TAN TRAN is a healthcare provider. based in Orange, California. specializing in ANESTHESIOLOGY. They hold a License No. 20A24115 (CA). The NPI Number for CHARLES TAN TRAN is 1124605332

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES TAN TRAN
NPI
1124605332
Phone
(714) 456-7890
Address
101 THE CITY DR S
Enumeration Date
24 March 2021
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7144567004
Graduation Year
2021 (5 years ago)
PAC ID
3577965763
Group Practice PAC ID
8729983473
Professional Enrollment ID
I20250717004406
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Provider Addresses for CHARLES TAN TRAN

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-7890

    Type: Location

  • 2611 WILLARD AVE

    ROSEMEAD, CA 917703208

    Phone: (626) 551-7907

    Type: Mailing

  • 234 GOODMAN ST

    CINCINNATI, OH 452192364

    Phone: (513) 558-6356

    Fax: (513) 558-0995

    Type: Location

  • 234 Goodman St

    Cincinnati, OH 452192364

    Phone: (513) 558-6356

    Fax: (513) 558-0995

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250717004406IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729983473View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Nurse PractitionerCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Anesthesiology, Critical Care (Intensivists)WI
Pain Management, AnesthesiologyCA

Reviews

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Frequently asked questions

What identifier follows CHARLES TAN TRAN across health systems?
The NPI 1124605332 uniquely identifies CHARLES TAN TRAN in U.S. healthcare data.
Is CHARLES TAN TRAN's NPI status active today?
Active status means CHARLES TAN TRAN's NPI record is not deactivated in the public file.
What type of care does CHARLES TAN TRAN provide?
CHARLES TAN TRAN's profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHARLES TAN TRAN?
The directory associates CHARLES TAN TRAN with Orange, California. Check all listed addresses for suites or satellite offices.
Why is information missing for CHARLES TAN TRAN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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