Individual provider Active NPI

Mong-Hoa Truong

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1164443768
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A46227 Issued in CA
Practice address
1695 Alum Rock Ave
7A
San Jose, CA 95116-2445
Phone
(408) 928-5650
Fax
(408) 928-5654
NPI assigned
Jul 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A46227 CA
Pediatrics Physician 208000000X A46227 CA Primary

Addresses

Primary practice location

1695 Alum Rock Ave
7A
San Jose, CA 95116-2445

Mailing address

1695 Alum Rock Ave
7A
San Jose, CA 95116-2445
Phone (408) 928-5650

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003557 CA Practitioner - General Practice 2668824558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46227CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Family Medicine CurrentSince Jan 5, 2024 Accepting new patients
County of Santa Clara Past Accepting new patients
One Health Primary Care LLC Past Accepting new patients

Locations

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164443768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 ALUM ROCK AVE",
            "address_2": "7A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162445",
            "telephone_number": "408-928-5650",
            "fax_number": "408-928-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 ALUM ROCK AVE",
            "address_2": "7A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162445",
            "telephone_number": "408-928-5650",
            "fax_number": "408-928-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MONG-HOA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46227",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A46227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.