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Deactivated NPI 1790988921 Deactivated / Inactive NPI Male Practitioner

Dr. Bao T Tran , DDS

Dentist - General Practice • Simi Valley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bao Tran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2007
NPI Deactivation Date June 15, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Bao Tran, DDS was a registered Dentist - General Practice practicing in Simi Valley, CA. Throughout an active medical career spanning 14 years, Dr. Tran provided care at the practice location at 1960 SEQUOIA AVE STE 1 until profile deactivation on 2021-06-15.

Practice Location & Contact Primary Location

Practice Address

1960 Sequoia Ave Ste 1

Simi Valley, CA 930633176

Telephone 8055843999
Fax 8055849788
Associated Practice Facility / Clinic
🏢 Mishra Dental Corporation Facility NPI 1891441317

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Simi Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Simi Valley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 770572423

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 15, 2021

Record deactivated on June 15, 2021

NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2011

Registered at 1960 SEQUOIA AVE STE 1, SIMI VALLEY, CA 930633176 (Tel: 8055843999)

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Updated Business Mailing Address December 12, 2011

Registered at PO BOX 745, SIMI VALLEY, CA 930620745 (Tel: 8055843999)

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Provider Name / Credentials Updated December 12, 2011

Recorded as BAO TRAN, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Dentist (License #770572423 in CA)

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Initial NPI Registration & Enumeration June 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790988921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: December 12, 2011
Deactivation Date: June 15, 2021

Mailing Address

Po Box 745

Simi Valley, CA 930620745

Phone: 8055843999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.