Individual provider Active NPI

Lan Thuy Truong

  • Obstetrics & Gynecology Physician
  • Tulare, CA
National Provider Identifier
1013100874
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT191841 Issued in PA
Practice address
1101 N Cherry St
OB/GYN Department
Tulare, CA 93274-2231
Phone
(909) 379-8487
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT191841 PA Primary

Addresses

Primary practice location

1101 N Cherry St
OB/GYN Department
Tulare, CA 93274-2231

Mailing address

1101 N Cherry St
OB/GYN Department
Tulare, CA 93274-2231
Phone (909) 379-8487

Other names 1

  • Lan Thuy Truong Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000568 CA Practitioner - Obstetrics/Gynecology 2961689997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center of Joshua Tree, IncGroup PAC ID 0648346007, shared by 2 NPIs, 2 clinicians
Morongo Basin OB/GYN Medical Group IncGroup PAC ID 7416905914, 2 clinicians

Practice addresses (Care Compare)

57445 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-2947
Phone (760) 366-7555

PO Box
Suite 1220
Joshua Tree, CA 92252-0810

Hospital & facility affiliations

  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT191841PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morongo Basin OB/GYN Medical Group Inc Current Accepting new patients
Morongo Basin OB/GYN Medical Group Inc CurrentSince Oct 16, 2018 Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Advanced Women'S Healthcare, a Medical Corporation Obstetrics & Gynecology Past Accepting new patients

Locations

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

7350 Church St
Yucca Valley, CA 92284
Phone (760) 369-3069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lan.truong.p1@direct.altura.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1013100874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CHERRY ST",
            "address_2": "OB/GYN DEPARTMENT",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742231",
            "telephone_number": "909-379-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CHERRY ST",
            "address_2": "OB/GYN DEPARTMENT",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742231",
            "telephone_number": "909-379-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "LAN",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT191841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "TRUONG",
            "middle_name": "THUY",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.