Active NPI
David M. Truong, M.D. a Professional Corporation
- Gastroenterology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G74460
- Legal business name
- DAVID M. TRUONG, M.D. A PROFESSIONAL CORPORATION
- Practice address
- 10900 Warner Ave Ste 201
Fountain Valley, CA 92708 - Phone
- (714) 274-9969
- Fax
- (714) 274-9973
- NPI assigned
- Sep 8, 2006
- Last updated
- Mar 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Minh Truong, MD
- Title
- President
- Phone
- (714) 274-9969
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G74460 | CA | Primary |
Addresses
Primary practice location
10900 Warner Ave Ste 201
Fountain Valley, CA 92708
Mailing address
10900 Warner Ave Ste 201
Fountain Valley, CA 92708-3846
Phone (714) 274-9969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G744601 | Medicaid | CA | |
| G74460 | Other | CA | STATE MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
11160 Warner Ave
Ste 305
Fountain Vly, CA 92708
Phone (714) 540-2675
8341 Westminster Blvd
Ste 101A
Westminster, CA 92683
Phone (714) 893-4100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Fountain Valley, CA
- NPI 1528090818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583712000000",
"number": "1083718365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 WARNER AVE STE 201",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-274-9969",
"fax_number": "714-274-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVE STE 201",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "714-274-9969",
"fax_number": "714-274-9973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M. TRUONG, M.D. A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MINH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-274-9969",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G74460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G744601",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G74460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.