Individual provider Active NPI

Truong Dang Quach, MD

  • Family Medicine Physician
  • Colton, CA
National Provider Identifier
1346358223
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92307 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-1000
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A92307 CA
Hospitalist Physician 208M00000X A92307 CA
Family Medicine Physician 207Q00000X A92307 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

PO Box 998
North Hollywood, CA 91603-0998
Phone (818) 509-2222

Other identifiers 1

IdentifierTypeStateIssuer
00A923070MedicaidCA

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
I20061003000601 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 7517962160 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist, Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians

Practice addresses (Care Compare)

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 1, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Superior Hospitalist Medical Group Inc Family Medicine CurrentSince Mar 15, 2016 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Sep 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Northern Inyo Healthcare District CurrentSince Oct 14, 2017 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Northern Inyo Associates CurrentSince Oct 14, 2017 Accepting new patients
Northern Inyo Healthcare District Current Accepting new patients
Providence Medical Foundation CurrentSince Feb 8, 2016 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

153 Pioneer Ln
Ste B
Bishop, CA 93514
Phone (760) 873-2602

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

152 Pioneer Ln
Ste F
Bishop, CA 93514
Phone (760) 872-1606

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1346358223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916030998",
            "telephone_number": "818-509-2222",
            "fax_number": "818-761-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "TRUONG",
        "middle_name": "DANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92307",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A92307",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A923070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.