Individual provider Active NPI

Truc Huy Dao, MD

  • Psychiatry Physician
  • Garden Grove, CA
National Provider Identifier
1235185075
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A50341 Issued in CA
Practice address
13071 Brookhurst St Ste 180
Garden Grove, CA 92843-1097
Phone
(714) 519-8306
Fax
(714) 534-7246
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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 A50341 CA
Psychiatry Physician 2084P0800X A50341 CA Primary

Addresses

Primary practice location

13071 Brookhurst St Ste 180
Garden Grove, CA 92843-1097

Mailing address

13071 Brookhurst St Ste 180
Garden Grove, CA 92843-1097
Phone (714) 519-8306

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
I20051117001081 CA Practitioner - PsychiatryPractitioner - General PracticePractitioner - Family Practice 1153340179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5771 Windbourne Dr
Huntington Beach, CA 92647-2142
Phone (714) 519-8855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50341CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Truc H Dao, M.D., Inc Family Medicine CurrentSince Jun 20, 2010 Accepting new patients
Marian a. Fedak M.D. Medical Corporation Past Accepting new patients

Locations

13071 Brookhurst St
Ste 180
Garden Grove, CA 92843
Phone (714) 534-2760

Interoperability endpoints

  • Direct secure messaging: truc.dao.p1@direct.arroyovista.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1235185075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 180",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431097",
            "telephone_number": "714-519-8306",
            "fax_number": "714-534-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 180",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431097",
            "telephone_number": "714-519-8306",
            "fax_number": "714-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TRUC",
        "middle_name": "HUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50341",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A50341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.