Kiet Truong Medical Corporation

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A101895 Issued in CA

Legal business name

KIET TRUONG MEDICAL CORPORATION

Practice address

7700 Folsom Blvd
Sacramento, CA 95826-2608

Phone

(510) 703-8360

NPI assigned

May 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kiet Tuan Vinh Truong, M.D.NPI 1912198565

Title

President

Phone

(510) 703-8360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiet Tuan Vinh Truong, M.D.

  • Child & Adolescent Psychiatry Physician
  • Sacramento, CA
  • NPI 1912198565
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1134411705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980551",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "957980551",
            "telephone_number": "510-703-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262608",
            "telephone_number": "510-703-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIET TRUONG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "KIET",
        "authorized_official_middle_name": "TUAN VINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-703-8360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A101895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Caitlin Kidwell, PHD
• Rodney Allen Kidwell, REGISTERED STUDENT
• Mindy Kiel
• Norman Ivan Kier, FNP-BC
• Maria Jeannette Kiesewetter, MD
• Judith L. Kietzman, ACSW
• Yui Kikuchi
• Lindsey Kikumoto
• Florence Kikuvi
• Patrick Sean Kilday, MD

• Child & Adolescent Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.