Active NPI
Tu Ngoc Truong, M.D.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1194794263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A50756
- Practice address
- 5069 El Cajon Blvd
San Diego, CA 92115-3348 - Phone
- (619) 583-8705
- Fax
- (619) 583-8701
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A50756 | CA | Primary |
Addresses
Primary practice location
5069 El Cajon Blvd
San Diego, CA 92115-3348
Mailing address
5069 El Cajon Blvd
San Diego, CA 92115-3348
Phone (619) 583-8705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A507561 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Southern California Keck School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5069 El Cajon Blvd
San Diego, CA 92115-3348
Phone (619) 583-8705
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50651 | CA | MD | Internal Medicine Physician |
| A50756 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu N Truong M D a Professional Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Nguyen Medical Corporation | Past | Accepting new patients |
Locations
5069 El Cajon Blvd
San Diego, CA 92115
Phone (619) 583-8705
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1568537132
-
- Family Medicine Physician
- San Diego, CA
- NPI 1700744307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1194794263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5069 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153348",
"telephone_number": "619-583-8705",
"fax_number": "619-583-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5069 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153348",
"telephone_number": "619-583-8705",
"fax_number": "619-583-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "TU",
"middle_name": "NGOC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A50756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A507561",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.