Organization Active NPI

Telemd Inc

  • General Practice Physician
  • Elk Grove, CA
National Provider Identifier
1083229223
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TELEMD INC
Practice address
9045 Bruceville Rd Ste 100
Elk Grove, CA 95758-5950
Phone
(916) 479-9110
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Ban Truong, DO
Title
Director
Phone
(916) 479-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9045 Bruceville Rd Ste 100
Elk Grove, CA 95758-5950

Mailing address

9045 Bruceville Rd Ste 100
Elk Grove, CA 95758-5950
Phone (916) 479-9110

Other names 1

  • TeleMD Doing business as

National Provider Directory

National Provider Directory

Locations

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1083229223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585950",
            "telephone_number": "916-479-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585950",
            "telephone_number": "916-479-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "BAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-479-9110",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeleMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.