Individual provider Active NPI

Taylor Truong

  • Physician Assistant
  • Seal Beach, CA
National Provider Identifier
1104542935
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13928 Seal Beach Blvd
Seal Beach, CA 90740-5301
Phone
(562) 444-8800
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13928 Seal Beach Blvd
Seal Beach, CA 90740-5301

Mailing address

13928 Seal Beach Blvd
Seal Beach, CA 90740-5301

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016002789 CA Practitioner - Physician Assistant 8123550084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Fein MD IncGroup PAC ID 4082678305, 14 clinicians
Howard Fein PCGroup PAC ID 6507389897, 2 clinicians

Practice addresses (Care Compare)

217 Avenida del Norte
Redondo Beach, CA 90277-5702
Phone (310) 540-7546

449 Silver Spur Rd
Rolling Hills Estates, CA 90274-3574
Phone (310) 541-4100

550 Deep Valley Dr
Suite 283
Rolling Hills Estates, CA 90274-7602
Phone (310) 541-7800

5865 E Naples PLZ
Long Beach, CA 90803-5040
Phone (310) 541-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63866CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Fein PC CurrentSince Nov 1, 2025 Accepting new patients
Island Dermatology, Inc Past Accepting new patients
Palos Verdes Skin Surgery Ctr Inc Past Accepting new patients

Locations

449 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (310) 541-4040

13928 Seal Beach Blvd
Seal Beach, CA 90740
Phone (561) 459-7100

Interoperability endpoints

  • Direct secure messaging: taylor.truong@pd.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1104542935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13928 SEAL BEACH BLVD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13928 SEAL BEACH BLVD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405301",
            "telephone_number": "562-444-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.