NPIMap

Organization Active NPI

Truong S Van MD PC

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1356456461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101030692 Issued in VA
Legal business name
TRUONG S VAN MD PC
Practice address
312 South Washington St
Suite #2D
Alexandria, VA 22314
Phone
(703) 548-4300
Fax
(703) 518-8949
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Truong Son Van, MDNPI 1306020441
Title
Employer
Phone
(703) 548-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101030692 VA Primary

Addresses

Primary practice location

312 South Washington St
Suite #2D
Alexandria, VA 22314

Mailing address

8910 Footstep Court
Annandale, VA 22003
Phone (703) 548-4300

Other identifiers 1

IdentifierTypeStateIssuer
6048081MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356456461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 FOOTSTEP COURT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-548-4300",
            "fax_number": "703-518-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SOUTH WASHINGTON ST",
            "address_2": "SUITE #2D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-548-4300",
            "fax_number": "703-518-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUONG S VAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "TRUONG",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "703-548-4300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101030692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.