Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ricky Tran

Individual provider Physician Assistant · NPI 1386242543

Ricky Tran is a Physician Assistant in Baldwin Park, California. Qualified in 2020, 6 years ago. Practices with Shine Mmg Inc, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020

Practice location Address checks out

3408 Frazier St
Baldwin Park, CA 91706-4707
Phone: (626) 257-0959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59127 (CA)

Record details

NPI number1386242543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 10, 2020
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address3408 Frazier St, Baldwin Park, CA 91706-4707

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Shine Mmg Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Baldwin Park