Michael Tuan

Primary specialty

DentistTaxonomy code 122300000X

License

65040 Issued in CA

Practice address

2041 Bronze Star Dr
Suite 300
Woodland, CA 95776-5427

Phone

(510) 847-5099

NPI assigned

Feb 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1184964710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR",
            "address_2": "SUITE 300",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765427",
            "telephone_number": "510-847-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR",
            "address_2": "SUITE 300",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765427",
            "telephone_number": "510-847-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-19",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024260",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marizela Trujillo
• Rebecca Anne Trujillo, AMFT
• Truong & Pongmanopap DDS PC
• Albert Truong, DDS
• Lana Tu, O.D.
• Jennifer Q Tuazon, RDH
• Liana Turkot, MD
• Alycia Clas'Shae Turner
• Turning Point Community Programs
• Donna Cay Tweltridge, O.T.R.

• Dentist in Woodland, CA
• Providers in Woodland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.