Individual provider Active NPI

Tri-Dung Gia Hoang, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1043268014
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79685 Issued in CA
Practice address
6540 Stockton Blvd Ste 3a
Sacramento, CA 95823-1635
Phone
(916) 391-0170
Fax
(916) 391-0442
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79685 CA Primary

Addresses

Primary practice location

6540 Stockton Blvd Ste 3a
Sacramento, CA 95823-1635

Mailing address

6540 Stockton Blvd
Ste 3a
Sacramento, CA 95823-1635
Phone (916) 391-0170

Other practice location 1

2001 Zinfandel Dr Ste B2
Rancho Cordova, CA 95670-4265
Phone (916) 369-8682

Other identifiers 1

IdentifierTypeStateIssuer
1568771632MedicaidCA

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
I20111024000625 CA Practitioner - Internal Medicine 6204008113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Dung G. Hoang MD IncGroup PAC ID 2769654672, 2 clinicians

Practice addresses (Care Compare)

6540 Stockton Blvd
Suite 3a
Sacramento, CA 95823-1635
Phone (916) 391-0170

Hospital & facility affiliations

  • Your Choice Home Health, Inc Home health agency, Rancho Cordova, CA, CCN 053168
  • American River Home Care Home health agency, Sacramento, CA, CCN 059665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79685CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Dung G. Hoang MD, Inc. Internal Medicine CurrentSince Aug 7, 2011 Accepting new patients
Tri-Dung G Hoang MD Incorporated Current Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

2001 Zinfandel Dr
Ste B2
Rancho Cordova, CA 95670
Phone (916) 369-8682

6540 Stockton Blvd
Ste 3A
Sacramento, CA 95823
Phone (916) 391-0170

Organizations & group practices 3

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 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1043268014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD",
            "address_2": "STE 3A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-391-0170",
            "fax_number": "916-391-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD STE 3A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-391-0170",
            "fax_number": "916-391-0442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Zinfandel Dr Ste B2",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956704265",
            "country_code": "US",
            "telephone_number": "916-369-8682",
            "fax_number": "916-368-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "TRI-DUNG",
        "middle_name": "GIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568771632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.