MR. TAI TIEN TRAN (MSPAS, PA-C) – Physician Assistant, NPI 1699952929

MR. TAI TIEN TRAN (MSPAS, PA-C) is a healthcare provider. based in Aliso viejo, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSPAS, PA-C. They hold a License No. PA19528 (CA). The NPI Number for MR. TAI TIEN TRAN (MSPAS, PA-C) is 1699952929

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. TAI TIEN TRAN (MSPAS, PA-C)
NPI
1699952929
Phone
(949) 360-1069
Address
5 JOURNEY STE 130
Enumeration Date
29 January 2008
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9493042117
Graduation Year
2007 (19 years ago)
PAC ID
8527362995
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20170210001123
Address ID
CA926727720SA395XXHERM500

Contacts

Secure Messaging
ttran1373923@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. TAI TIEN TRAN (MSPAS, PA-C)

  • Journey, Aliso Viejo, Orange County, California, 92656, United States

    ALISO VIEJO, CA 926565330

    Phone: (949) 360-1069

    Mailing address matches the actual address.

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: 2017-02-10

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
I20170210001123IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes417358$0
81002Urinalysis, manual test4642$0
J1885Injection, ketorolac tromethamine, per 15 mg4615$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4039$0
96372Injection of drug or substance under skin or into muscle2926$0
View full utilization report →

Insurance plans in this area (ZIP 92656)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

How is MR. TAI TIEN TRAN (MSPAS, PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. TAI TIEN TRAN (MSPAS, PA-C) with NPI 1699952929.
Is MR. TAI TIEN TRAN (MSPAS, PA-C) still practicing?
MR. TAI TIEN TRAN (MSPAS, PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. TAI TIEN TRAN (MSPAS, PA-C)?
For research purposes, treat MR. TAI TIEN TRAN (MSPAS, PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. TAI TIEN TRAN (MSPAS, PA-C) on a map?
Expect Aliso Viejo, California as a primary anchor for MR. TAI TIEN TRAN (MSPAS, PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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