Active NPI
Phuongtam Thi Truong, DDS
- Dentist
- Alhambra, CA
National Provider Identifier
1245381003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42961
- Practice address
- 1223 E Valley Blvd
Alhambra, CA 91801 - Phone
- (626) 284-8144
- Fax
- (626) 284-8148
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42961 | CA | Primary |
Addresses
Primary practice location
1223 E Valley Blvd
Alhambra, CA 91801
Mailing address
27 Colonial
Irvine, CA 92620
Phone (949) 290-2558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42961 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245381003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COLONIAL",
"city": "IRVINE",
"state": "CA",
"postal_code": "92620",
"telephone_number": "949-290-2558",
"fax_number": "626-284-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 E VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91801",
"telephone_number": "626-284-8144",
"fax_number": "626-284-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "PHUONGTAM",
"middle_name": "THI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.