Individual provider Active NPI

Dung Quoc Truong, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1205209285
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95003371 Issued in CA
Practice address
1516 San Pablo St FL 2
Los Angeles, CA 90033
Phone
(323) 442-5908
NPI assigned
Nov 12, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95003371 CA Primary

Addresses

Primary practice location

1516 San Pablo St FL 2
Los Angeles, CA 90033

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dung.truong@direct.usc.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002280 CA Practitioner - Nurse Practitioner 4688941958 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Medical AssociatesGroup PAC ID 0547588162, 7 clinicians

Practice addresses (Care Compare)

555 Washington St
San Diego, CA 92103-2289
Phone (619) 260-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95003371CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Apr 17, 2024 Accepting new patients
Lalla-Reddy Medical Coporation CurrentSince Mar 19, 2017 Accepting new patients
Usc Care Medical Group, Inc CurrentSince May 26, 2018 Accepting new patients
House Call Medical Associates, Inc. CurrentSince Jan 25, 2019 Accepting new patients
365 Medical Group, Inc CurrentSince Jan 4, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince May 26, 2018 Accepting new patients
Keck Medical Center of Usc Past Accepting new patients

Locations

508 S Brookhurst St
Anaheim, CA 92804
Phone (800) 560-9999

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

17195 Newhope St
Ste 107
Fountain Valley, CA 92708
Phone (714) 444-2414

11180 Warner Ave
Ste 353
Fountain Vly, CA 92708
Phone (714) 751-3540

12865 Main St
Ste 105
Garden Grove, CA 92840
Phone (714) 360-0739

1516 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 276-3704

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • Direct secure messaging: dung.truong@direct.usc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205209285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-442-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DUNG",
        "middle_name": "QUOC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dung.truong@direct.usc.edu",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1516 San Pablo St Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.