Individual provider Active NPI

Norman Truong, PT, DPT, CSCS

  • Physical Therapist
  • Walnut, CA
National Provider Identifier
1114454261
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293627 Issued in CA
Practice address
280 S Lemon Ave
Unit 203
Walnut, CA 91788-2608
Phone
(909) 391-0333
NPI assigned
May 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293627 CA Primary

Addresses

Primary practice location

280 S Lemon Ave
Unit 203
Walnut, CA 91788-2608

Mailing address

280 S Lemon Ave
Unit 203
Walnut, CA 91788-2608

Other practice location 1

116 N Avenida Alipaz
Walnut, CA 91789-2203
Phone (510) 459-8421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122003204 CA Practitioner - Physical Therapist in Private Practice 1254690118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293627CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Truong CurrentSince May 10, 2025 Accepting new patients

Locations

280 S Lemon Ave
Unit 203
Walnut, CA 91788

Organizations & group practices 1

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": "1495238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1114454261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S LEMON AVE",
            "address_2": "UNIT 203",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S LEMON AVE",
            "address_2": "UNIT 203",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882608",
            "telephone_number": "909-391-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 N Avenida Alipaz",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "CA",
            "postal_code": "917892203",
            "country_code": "US",
            "telephone_number": "510-459-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-20",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.